Payments

Please use this form to pay your training fees for Hombu Dojo and Ramarama Dojo. Please do not use this form to pay for training fees if you are a member of other Dojos.

Ensure that you use sentence case when filling out the form – please do not use UPPER CASE or all lower case.

Example for correct entry is: John Smith, 38 Smith Street, Auckland.

I would like to pay for:*
- Individual - Hombu Dojo Monthly Training fees
- Family - Hombu Dojo Monthly Training fees
- Children's fees - Hombu & Ramarama Dojos
- Workshop fee
- Casual training fees
Individual - Hombu Dojo Monthly Training Fees
Please select the appropriate option that you are paying for below. If you are paying for your child please use the ‘Children’s fees’ option above.
Training Fees
Direct debit fees
If you intend to pay fees by direct credit please set up an automatic payment to 06-0287-0136609-000 using your name and 'dojo fees' as a reference.
- I will pay by direct debit
Family - Hombu Dojo Monthly Training Fees
Please use a combination of selections below to build your family training concession.
Family Group*
Please select the options that fits your family training group:
Additional family members
Even more family members
Children’s Training Fees
Please use this section to pay for children training at Hombu (Mt Eden) or Ramarama Dojos.
Children’s Training Fees
Please select the relative fees below. If you have more than 1 child training a discount is built in to the fee. If you have more than 3 children training please contact us.
Child’s name*
Child’s Date of Birth*
DD slash MM slash YYYY
Second Child’s Name*
Second Child’s Child’s Date of Birth*
DD slash MM slash YYYY
Third Child’s Name*
Third Child’s Child’s Date of Birth*
DD slash MM slash YYYY
Training Dojo*
Please select the dojo where your child or children usually train.
Medical Conditions
Please detail any medical conditions or special requirements that your child/children may have so that our instructors can be properly prepared.
Casual training fees
I am paying casual training fees for:
Please enter the date(s) that you are paying matt fees for.
Casual training fees (Hombu Dojo registered member) Quantity
Price: $ 20.00
Casual training fees (affiliated dojo member) Quantity
Price: $ 15.00
Workshop fees
Please enter the date of the workshop and details of who you are paying for.
Workshop date & attendee(s)
Training workshop Quantity
Price: $ 35.00
Personal Details
Your name*
First Last
Additional name(s)
If you are paying fees for other members of your dojo or family please list their names and grades (and children's ages) below.
Email*
Enter Email Confirm Email
Phone
Dojo*
Please select the dojo where you usually train.
Current grade*
If you are paying for your child please just select the 'Child grade' or 'Ungraded' option.
Additional details
If you are paying membership fees for more than one person (ie family member) please provide their first and last names and email (if appropriate) below.
Total Fees
Agreement*
Please check the box below after reading the terms and conditions of training (opens in new window).
- I have read and agree with the terms and conditions of training.
Direct debit payment
Please check this box if you are paying by direct debit (you still need to submit this form).
- I have set up a direct debit payment to the Shinryukan account for my training fees.
Fees to pay
$ 0.00
Comments
This field is for validation purposes and should be left unchanged.

Individual - Hombu Dojo Monthly Training Fees

Family - Hombu Dojo Monthly Training Fees

Children’s Training Fees

Casual training fees

Workshop fees

Personal Details

Total Fees