Online AJA Application - American JuJitsu Association

Join the American Jujitsu Assocation!

Welcome to the American Ju-Jitsu Association! We are delighted to learn of your interest in joining this venerable, over 50-year-old umbrella association of all Japanese Ju-Jitsu Ryu, no matter their origin.

Please fill out the Dojo Application form below and email five attachments electronically to the AJA National Standards and Certification Board (NSCB) Thomas Dineen at tgdineen3@gmail.com

Required Information and Supporting Documentation

A photocopy or image of your most recent certificate of Yudansha rank in Ju-Jitsu.
A summary of your belt rank requirements and/or teaching curriculum for your dojo. Note that there is no special format for this.
A short (10 to 20-minute max) video demonstrating your style of Ju-Jitsu. This can be on DVDs or link to social media video. (NOTE: This video is not supposed to be a “how to” video. The intent here is to help the NSCB get a sense of what you teach.)
A copy of the “Participant Release/Waiver” form that you use in your dojo. This is intended to protect you and the AJA from potential legal liability.
A photo of yourself. This may be used in the future on the AJA website if you should choose to accept an AJA staff responsibility.

Sensei Information

First Name *

Last Name *

Nickname

Rank *

Promotion Date *

Office Position

Home Phone #

Work Phone #

Other Contact

Email Address

Dojo Information

Dojo Name *

Dojo Ryu *

Dojo Building Name

Dojo Physical Address *

Dojo Physical City *

Dojo Physical State *

Dojo Physical Zip *

Dojo Physical Country *

Dojo Phone *

Dojo Class Schedule *

Dojo Mailing Address *

Dojo Mailing City *

Dojo Mailing State *

Dojo Mailing Zip *

Dojo Mailing Country *

Dojo Website

Landlord Information

* If you do not own the building you teach in, this information is required.

Landlord Name

Landlord Address

Landlord City

Landlord State

Landlord Zip

Landlord Phone

I, [your name] * agree that if I am accepted for membership in the AJA that I will abide by the Constitution and Bylaws of the AJA to the best of my ability. I also agree that all participants in my dojo will become paid members of the AJA, at a fee of $20 each per calendar year. I also understand that violation of the Constitution & Bylaws could result in suspension and/or revocation of all AJA certifications and benefits. Furthermore, I grant the AJA permission to use my name, rank, dojo name, dojo location and class schedule on its website and other publications.

Your signature *

Date *

Captcha *