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MEMBERSHIP APPLICATION

JOIN OUR GLOBAL MARTIAL ARTS SOCIETY FROM ANYWHERE IN THE WORLD!

Join the Black Scorpion Ninjutsu Society Today!

We are officially seeking dedicated practitioners and leaders to become Regional Representatives within their home State or Country.

You will receive:

Two Different Unique Embroidered Patches: High-thread-count insignias for your uniform or gear.

Two Different Distinct Vinyl Decals: Weatherproof emblems for your vehicle or training equipment.

A Digital Membership Certificate.

Full Legal Name *

Preferred Name/Nickname

Date of Birth *

Phone Number (Mobile) *

Email Address *

Why do you seek membership with the Black Scorpion Ninjutsu Society? *

Have you ever trained in the Martial Arts? *

Yes
No

If yes, please list the Style/Discipline: (e.g., Taekwondo, BJJ, Muay Thai, Wrestling)

We will email you with a payment method of your choice. Please Choose Below: *

Venmo
PayPal
Zelle
CashApp
Money Order
Renewal (FREE).

How did you hear about us? *

Google Search
Social Media (Facebook/Instagram)
Referral

If referred, Who referred you? *

Your Message/Comments *

As a Member, Do you agree to follow the code of conduct set by the Society? *

Yes
No

Mailing Address *

Your City *

Your State *

Zip Code *

If International, What Country?

Would you like to receive our newsletter?

Yes
No

To complete your membership registration, please select your location below. Once chosen, we will reach out to you with your preferred payment method for the following amounts:

United States Membership: $40.00
International Membership: $50.00

Send me a copy

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Black Scorpion Ninjutsu Society - Ninja Training

LIVE IN NASHVILLE OR THE SURROUNDING AREAS?

NOW OFFERING PROFESSIONAL MARTIAL ARTS & SELF-DEFENSE LESSONS IN MIDDLE TENNESSEE!

LEBANON, TN. ● MADISON, TN. ● HENDERSONVILLE, TN. ● MURFREESBORO, TN. ● GOODLETSVILLE, TN.

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The Black Scorpion Ninjutsu Society - Honoring tradition, building character, and mastering the art of Ninjutsu for the modern warrior.