First Name:* Middle Initial: Last Name:* Suffix: Date of Birth:*

Address Street:* Apt #: Gender:* Male Female

City:* State:* Zip Code:  Telephone (incl. area code):*

IF APPLICANT IS UNDER THE AGE OF 18 GUARDIAN INFORMATION IS REQUIRED:

Guardian’s Name:  Relationship: Telephone:

Contact E-Mail Address (for Applicant, or Guardian if Applicant is under 18 years of age):*

By checking the appropriate box below, and on the Terms and Conditions portion of this application, I am agreeing that all of the information is accurate and true, and agree to the terms and conditions as outlined on this form:*

Applicant (as named above) Guardian (as named above, if the applicant is under 18 years of age)   Date (day/month/year):*

School/Club Name:*

Applicant Rank:* Applicant Number of Years in Training:*

Instructor’s Name:* Instructor’s Rank:*

School Street Address:* Instructor’s Position:*

City:* State:* Zip Code:*

Telephone (including area code):* E-Mail Address:*

Educational Format:*   Public   Private   Charter   Home   College

School Name:*   Current Class/Grade:*

School Contact Name:*     Contact Position:*   Counselor   Teacher   Other:

Mailing Address:*

City:*   State:*   Zip Code:*

Telephone (including area code):*   E-Mail Address:*

I am applying for membership in the Varsity Martial Arts League (VMAL). This membership is for the sole purpose of  providing honest and accurate information for my application in the validation process of obtaining my varsity letter through the VMAL. Junior Varsity, Varsity and Collegiate Varsity Letters are hereby known as Varsity Letter.

I agree that representatives of VMAL may contact any and all of the sources and names submitted in this application for verification and any additional contacts either named or unnamed may be contacted to complete the screening process to either confirm or deny the receipt of this Varsity Martial Arts League Varsity Letter. Forms of contact will include but not limited to: portal generated e-mail, personal e-mail, phone contacts, postal letters and in person contact.

I Agree that my Scholastic School and Martial Arts School has permission to access and update both the VMAL Portal or VMAL verification forms e-mailed, faxed or mailed in direct regard to my application for the Varsity Letter achievement. Scholastic school requirements:

• The participant is actively enrolled in the school indicated above.
• If the school changes the applicant has sixty days to notify VMAL.
• Junior Varsity Letters are awarded to 8th and 9th grade enrollees.
• Junior Varsity Letters are awarded to 10th through 12th grade enrollees with less than 2 years martial arts training.
• Varsity Letters are awarded to 10th through 12th grade enrollees with 2 or more years martial arts training.
• The participant must maintain a minimum grade point average of 2.5.
• VMAL must have confirmation of the above from the Scholastic School that is entered above.

Each achievement year covers the calendar dates from June 1 through May 31.

Martial Arts School requirements:

• The participant to be actively enrolled in the school indicated above.
• If the school changes the applicant has sixty days to notify VMAL.
• Applicant must participate in a minimum of four (4) championships.
• Applicant must train/attend a minimum of one hundred (100) hours through the scholastic year.
• Applicant must assist or participate in a minimum of nine (9) hours of additional martial arts activities. (Examples: belt tests, exhibitions, leadership classes, assist in classes, championships, clinics or camps)
• VMAL must have confirmation of the above from the Martial Arts School that is entered above.

Upon reaching the necessary requirements for my Varsity Letter, Award Letter will be electronically sent to the Participant, Guardian, Scholastic School and Martial Arts School. Any sports award presentation will be a cooperative effort with one or more of the Schools on the reverse side of this application. I understand that upon receipt of Award Letter I may purchase Insignia ‘MA’ Letters, Formal Certificates, Varsity Jackets, Apparel and Rings at my own expense from approved suppliers.

VMAL is a national recognized program supported by many accredited organizations. I accept and hold harmless VMAL, associates, employees and family in the process of acceptance, approval and accept any result awarded or not awarded.

My VMAL membership is a $45/yr or a $45/yr subscription membership and becomes active upon receipt of payment. This annual $45/yr or $45/yr subscription membership is a is non refundable. I may elect to cancel prior to the anniversary date by canceling the subscription payment online at the through my Paypal account.

By checking the appropriate box, and clicking on the "submit" button below, I am declaring that all of the information provided on this form is accurate and true, and that I agree to the terms and conditions of the VMAL. *

Applicant (as named above) Guardian (as named above, if the applicant is under 18 years of age)   Date:*

     

Please fill in ALL required fields indicated with an asterisk (*).