JKA World Championships Athlete, Coach, and Officials Application
Please fill out this form by March 9, 2024
First name
Last name
Mailing Address
Email
Phone Number
Birthday
JKA Membership number (or JKAAF membership number) OPTIONAL
Kyu/Dan Rank
Dojo
Instructor's name
Please select the appropriate category
Select an option
Athlete
Coach
Official/Judge
If you are selected, what size warmup jacket would you like?
Youth Small
Youth Medium
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Please indicate which of the following you have:
JKA Passport
U.S. Passport
Mouth piece (kumite only)
Groin protector (male kumite only)
Chest protector (kumite only)
JKA approved hand pads/gloves (kumite only)
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