School Membership Application

$150.00 Annually – for benefit information click here

Please fill out the form completely. You will be invoiced for your membership once it has been approved.

School Name:

Contact Name:

Address:

City:

State:

Zip:

Website:

Phone:

Email:

Please mark all that your school offers:
Dragon/Wu LongSouthern Lion/Nan ShiNorthern Lion/Bei ShiHigh Poles/JongsKeileun/QilinPerformance DrummingMartial ArtsOther (please comment below)
If other:

Instructor(s):



Brief School Biography:

How did you hear about USDLDF?: