KoKoDo Dojo Sadohana KaiYearly Association Student Registration Name * First Name Last Name Student Email * Teachers Email * Phone * Country (###) ### #### Rank and Yen in KoKoDo JuJutsu * White to Brown 10000 yen Black Belt 15000 yen Shihan 20000 yen Kaidan Shihan 20000 yen Kaiden Shihan Kogyoku 20000 yen Method of payment * let us know how you plan to transfer the yen Yen cash in person Yen cash to my teacher to pass along to Hanshi Yen via paypal When did you start KoKoDo JuJutsu * MM DD YYYY Name of your direct teacher * Let us know how you will transfer the payment Date and location of the latest KoKoDo Gasshuku you attended * Date and rank of latest belt promotion in KoKoDo * Thank you!