ARSIC-International

Savateur's   online registration application form

Please, contact us directly via Email if you encounter any problems or if your system is not able to support this sophisticated program. We will send you a similar form via Email.
 
  • If you have decided to become an ARSIC  Registered Savateur, Congratulation!  As soon as  we have received these information we will be very pleased to enter you as registered  but inactive member. Your membership will become active as  soon as we have received your  yearly membership dues .
  • These information will be entered in our database and kept confidential. Your name listed in our directory.
ARSIC-International Executive board.
THIS FORM IS FOR A PRIVILEDGED MEMBERSHIP APPLICATION TO ARSIC-International

* All fields are required; please enter "N/A" in those fields which do not apply to your circumstances. 

Name (First , Last): *
Address: *
City: *
State(US Only): *
Zip/Postal Code: *
Home Phone:  *
Work Phone: *
Email Address: *
Best Time to Call: *
Do you have a physician
Physician's name
Physician's address
Physician's Phone number
Rank *
Do you have instructor rank *
Year Acquired:
Are your ranks ARSIC registered
Instructor who awarded ranks * 
Club's name *
Club's address *
Clubs Phone number *
Do you practice Canne?
Technical skills rating *
Are you interested in becoming a full ARSIC member?
 

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