Official

IKF
Event Official
LICENSE - REGISTRATION FORM
To Register Print out This form & MAIL to the IKF With Your 2" x 2" Headshot Photo of yourself and your Fee of $40.00 for ONE Certification & $20 For Each Additional -Except for REPRESENTATIVE- Add $5.00 to total If Paying by Visa/MC. Your Fee includes Your IKF Officials Shirt, Certificate & ID Card. CREDIT CARDS Will Be Charged Thru Our IKF Graphics Department and Say FOSTER GRAPHICS on your statement. FAX: (916) 663-4510

IKF STAFF USE ONLY: SENT: ___/___/___ - REC: ___/___/___ - AMOUNT PAYING: $______
- - - - - - "PLEASE PRINT NEATLY" - - - - - -
If we cannot read your printing, YOUR REGISTRATION WILL NOT BE ACCEPTED
Registration Forms WITHOUT FEES will be Disposed of.

First & Last Name _____________________________________SHIRT SIZE: _______________
P.O. Box Or Physical Street Number:_________________________________________
City: _______________________State: ______ Zip: ________________
Contact Number For Officials Page: (______) _______________________
You have been APPROVED and or CERTIFIED by the IKF to be an Official IKF:
- _____ JUDGE ONLY: $40
  - What Rule Style(s) are you CERTIFIED In: ____FCR ____IR ____MTR ____SS
- _____ REFEREE ONLY: $40
  - What Rule Style(s) are you CERTIFIED In: ____FCR ____IR ____MTR ____SS
- _____ TIMEKEEPER ONLY: $40
- _____ REPRESENTATIVE ONLY: $100
- _____Combination Certification. $40 for first + $20 for each ADDITIONAL.
Please Confirm Certification Below:
- _____ I took an IKF Certification Course.
  - WHEN: ___________________________________________
  - WHERE: __________________________________________
  - IKF INSTRUCTOR:________________________________
- _____ Due to My Experience I Was Approved without an IKF Certification Course.
  - Who was the IKF Official that Approved You: _______________________________________
  - WHEN: _______________________________
MANDATORY FOR ID CARD: E-mail us your headshot photo in a jpg format to main@ikfkickboxing.com
I certify the above Is true and I confirm so by my signature here:____________________________
Date: ___/___/___

Please send this Form and Fees to: IKF Attn: OFFICIALS LICENSE - REGISTRATION P.O. Box 1205, 9385 Old State Hwy, Newcastle, CA, 95658, USA - (916) 663-2467 - FAX: (916) 663-4510 Registration Forms WITHOUT FEES will be Disposed of. IF PAYING BY CREDIT CARD PLEASE PRINT NEATLY! CIRCLE OR CHECK ONE: _____VISA -OR- _____MASTERCARD
CC#: ___________ ___________ ___________ PHONE: (________) __________ _____________	___	CARD EXP. DATE_______/_______/_______ 3 DIG SEC CD: _____ - _____ - _____
Back To IKF JOINING Page Click HERE - Back To IKF HOME Page Click HERE