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Home Application Forms WKO Membership

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World Kumite Organization
Membership Application

Membership open to individuals who have achieved Black Belt Grading and either Have their own Dojo or are active Instructors at a Member Owned Dojo.

The WKO requests a photo of the applicant in a kneeling position to display on the WKO web site.

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Membership open to individuals who have achieved Black Belt Grading and either Have their own Dojo or are active Instructors at a Member Owned Dojo
Registration
* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon
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Your image will be resized if needed to a maximum dimension of 200 pixels width x 500 height automatically, but your image file should not exceed 1000 KB.

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By clicking "Register", you certify that you have the right to distribute this photo.
* This Field is required This Field IS visible on profile Information for: Name : Please enter your real full name.
* This Field is required This Field IS visible on profile Information for: Username : Please enter a valid username. No spaces, at least 3 characters and contain 0-9,a-z,A-Z
* This Field is required This Field IS NOT visible on profile Information for: Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS NOT visible on profile Information for: Verify Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
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* This Field is required This Field IS NOT visible on profile
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This Field IS visible on profile Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
This Field IS visible on profile
This Field IS NOT visible on profile
This Field IS NOT visible on profile
This Field IS visible on profile
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* This Field is required This Field IS visible on profile Information for: Martial Arts Style : The Style of Martial Arts You Practice
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* This Field is required This Field IS NOT visible on profile
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* This Field is required This Field IS visible on profile Information for: Dojo Address : Please Enter the address fo your Dojo or School
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This Field IS visible on profile Information for: Current Grading Certificate : Please attach a photocopy of your current Grading Certificate

Your image will be resized if needed to a maximum dimension of 200 pixels width x 500 height automatically, but your image file should not exceed 1000 KB.

Select file

By clicking "Register", you certify that you have the right to distribute this photo.
This Field IS visible on profile
Security Code:
 
 
* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon

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