Hall of Fame Acceptance - USMAHOF

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Hall of Fame Acceptance

Nomination Acceptance Form

Congratulations on being nominated into the United States Martial Arts Hall of Fame. By completing this form, you are accepting induction into our prestigious Hall of Fame. We are honored to have you join the ranks of other incredible martial arts professionals who are making a difference in their local community, across the nation, and around the globe.  

All fields marked with an asterisk (*) are mandatory.  Please make sure your first name and last name are spelled correctly, as this is what will appear on your Awards Plaques and Certificates.  We are NOT responsible for misspellings or omissions submitted on this form. If you prefer to remit this information via paper form, click HERE.  

















 Yes
 No




Induction Fee ($300)

Banquet Guest ($75)
Not Attending


 YES
 NO

 YES
 NO

 Small
 Medium
 Large
 X-Large
 XX-Large
 XXX-Large

 YES
 NO


Professor Gary Lee

I, the undersigned, request the privilege of admission to the course organized by The International Martial Arts Council of America, Inc. (IMAC) and the United States Martial Arts Hall of Fame (USMAHOF) and given at the above-mentioned place and time. I understand that the classes taught in this seminar are martial arts-oriented involving strenuous exercise and physical contact. I understand that martial arts and related defensive tactics are inherently dangerous and I could face severe injury or death from participation in this event.  I further understand that neither IMAC, USMAHOF, nor the organizers of this seminar offer any insurance or guarantees of any sort, nor subscribe to any insurance against illness or injuries to the course participants or damage to their property.  In consideration of the privilege of being admitted to participate in the course, of receiving the provided instruction, and of using the host organization’s installations for the duration of the seminar and/or banquet activities, I hereby declare that I will personally assume all responsibility concerning any illness or injury that I may incur or that may be inflicted on me by others during the course, be it on or off the premises, before, after, during or between sessions or at the banquet.  I hereby hold immune and release IMAC, USMAHOF, John Terry, its directors, employees, agents, and representatives, and The Orleans Hotel & Casino (Las Vegas) from all responsibility, accountability, and any reparations concerning personal injuries, lawsuits, damages, losses of any nature whatsoever, in law and equity, relative to the activities mentioned above.  I hereby agree and engage, in the name of my heirs and beneficiaries, never to pursue, legally or in equity IMAC, USMAHOF, John Terry, employees, agents or representatives, or The Orleans Hotel & Casino (Las Vegas) in relation to such illnesses, injuries, lawsuits, damages, responsibilities, accountabilities, reparations or losses.  Your signature below also shall act as an image release allowing photos or videos taken to be used In promotional material.


Award Packet consists of prestigious 9” x 12” Personalized, Laser-Etched United States Martial Arts Hall of Fame Awards Plaque, United States Martial Arts Hall of Fame Fraternity Membership Certificate, International Martial Arts Council of America Membership Certificate, United States Martial Hall of Fame Inductee Patch, International Martial Arts Council of America Membership Patch, One-Year Online Access to the IMAC Leadership Academy, and one banquet ticket to our black-tie event.  (Retail Value: $1,070.00) If you are NOT attending the Banquet, your Awards packet will be shipped to you within 30 days of the conclusion of our LIVE event.   

We will redirect you to an electronic payment page where you can remit applicable fees using your VISA, MasterCard, Discover, or American Express.  Your induction will not be processed until we receive payment. You will not be able to return to the payment page once you submit your Acceptance form.  Fees are non-refundable. If you are requesting International Rank Registry recognition, please induce a copy of the Rank certificate you wish to be recognized.  If you prefer to print this information and have us send you a Paypal Invoice (or pay by check), please remit this completed form to:

Dr. John L. Terry, III
United States Martial Arts Hall of Fame
314 Quail Creek Rd
Hot Springs AR 71901

Make Checks Payable to:  "United States Martial Arts Hall of Fame"

DISCLOSURE: Our National Training Camp and Hall of Fame Banquet serve as our Association's major annual fundraiser.  You may be asking, "Why should I pay a fee to be inducted?"  It's a good question, and a valid question.  We are quite transparent into why we charge a fee and how this money is spent.  We want you to know our WHY and how your money will be used to support our efforts to serve and support the Global Martial Arts Community.  We've prepared a PDF to explain this, which you can access by clicking here: WHY PAY A FEE?
As an inductee, you are eligible to purchase the Hall of Fame Fraternity Ring.  This oversized, Super Bowl style Championship ring is available exclusively to our inductees, past and present. Inductees holding a valid 5th Dan or higher rank are eligible to upgrade their HOF Ring to include our "Diamondette" insert.  


HALL OF FAME FRATERNITY RING
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