5 Star School Request

Please complete the form below:

Location *schools with multiple locations must apply separately for each location

School/Club/Academy/Organisation Name *

Web Linkwebsites and social media pages links may go here

School Email Address

Suburb *

State *

Current proof of insurance *

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upload your Certificate of Currency

Proof of membership *

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either certificate or statement noting name of the organization and your membership number with either the MAIA or an NSO

List of Instructors *

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please note instructor's accreditation and covid safe certification status

Declaration *

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 display

Email Address *for admin purposes only and not for display

Phone *for admin purposes only and not for display

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