
MEMBERSHIP QUESTIONNAIRE
Complete and submit with your application for membership.
Registration inquiries:
WDU-USA Secretary
Master Kristin Duethorn
75 Railroad St
Putnam, CT 06260
(860) 928-9218
Kduethorn@questmartialarts.us
WDU-USA Secretary
Master Kristin Duethorn
75 Railroad St
Putnam, CT 06260
(860) 928-9218
Kduethorn@questmartialarts.us
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QUESTIONNAIRE
I affirm that all of the forementioned is true and correct. I affirm that I am competent to make this Affidavit. I hereby acknowledge that my acceptance of these Terms & Conditions and to all of the affirmations in this entire document with explicit reservation of all my inalienable rights and my
specific right not to be bound by any "contract" or "obligation" which I have not entered into knowingly, voluntarily, intentionally, and without misrepresentation, duress, or coercion. I also understand that any false or misleading statements or answers can result in being rejected or terminated from the WDU.
Check this box to indicate that you have read and agree to all of the above terms & conditionsspecific right not to be bound by any "contract" or "obligation" which I have not entered into knowingly, voluntarily, intentionally, and without misrepresentation, duress, or coercion. I also understand that any false or misleading statements or answers can result in being rejected or terminated from the WDU.