5 Star School Request Please complete the form below: Location *schools with multiple locations must apply separately for each locationSchool/Club/Academy/Organisation Name *Web Linkwebsites and social media pages links may go hereSchool Email AddressSuburb *State *Current proof of insurance *Choose FileNo file chosenDelete uploaded fileupload your Certificate of CurrencyProof of membership *Choose FileNo file chosenDelete uploaded fileeither certificate or statement noting name of the organization and your membership number with either the MAIA or an NSOList of Instructors *Choose FileNo file chosenDelete uploaded fileplease note instructor's accreditation and covid safe certification statusDeclaration *I certify that all above information is true and correct. I consent to the enclosed ‘LISTING’ details being placed on the ‘5 Star Covid Safe Martial Arts Schools’ website listing.Name of applicant *for admin purposes only and not for displayEmail Address *for admin purposes only and not for displayPhone *for admin purposes only and not for displaySend Message