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Membership Application

ORDER OF COMBAT – USA, INCORPORATED

MEMBERSHIP APPLICATION

I,  _____________________________________PLEDGE ALLEGIANCE TO

PRINT YOUR FULL NAME

THE  FLAG OF THE UNITED STATES OF AMERICA, AND TO THE REPUBLIC FOR WHICH IT STANDS, ONE NATION UNDER GOD, INDIVISABLE, WITH LIBERTY AND JUSTICE FOR ALL.

I WILL SUPPORT AND DEFEND THE CONSTITUTION OF THE UNITED STATES OF AMERICA.

I will faithfully support the highest ideals of American Citizenship, treating all individuals fairly and giving equal opportunity to each person.

I will become a life long learner, and help others realize the virtue of Education.

I will give support to, and participate in, Community Service.

These are the foundations of the Order of Combat, and are the duty of all Members.

I understand that the Director of the Order of Combat-USA, Incorporated is the senior representative of the Order, and only the Director can authorize promotions, or any certificates.

I understand that the Director has final authority in all matters concerning the Order of Combat-USA,   Inc.   (OCUSA is a nonprofit, fraternal, Martial Arts association dedicated to Citizenship, Education and Community Service.)

  I take absolute financial responsibility for any damages or injuries that may occur while training as an Order  of Combat–USA, Inc. member, and agree to abide by rules of the Order of Combat when participating.  I also agree to release the Director, and other officials of the Order harmless from liability.

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_______________________________________________     Applicant Sign and Date

Parent (if a minor) Sign and Date______________________________

Address____________________________________________Phone_______________

________________________________________________ZIP _____________

Certified Karate Rank(s)__________________________________________________

Military Rank _______ Branch________  Service Period_____________to_________

Military Qualifications/Skills/Awards  ______________________________________

Suggested Donation     Underbelts $10  Black Belts $50

NOTE(Certification may be subject to examination of credentials, background investigation  or examination of qualifications by test or demonstration)

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