IKF
APPROVED & ENDORSED
SEMINAR INSTRUCTORS REGISTRATION
FORM

To become an Approved and Endorsed IKF Seminar Instructor, Please print off this application, complete and mail it, along with a picture of yourself, a seminar video (MANDATORY) and Yearly Registration Fee of $50.00 (US) to IKF P.O. Box 1205, Newcastle, CA, 95658, USA

PLEASE "PRINT" NEATLY

  1. Your Name: ___________________________________________________________
  2. Physical Address.
    ___________________________________________________________________
  3. Mailing Address if Different.
    _____________________________________________________________________________
  4. Phone Number: (_______) ______-_____________ - FAX: (_______) ______-_____________
  5. Your Age: _____ - Date Of Birth: _____/_____/_____
  6. Tell us about your Seminar(s) What do you teach? How Long? Etc. (Use back if necessary)
    ___________________________________________________________________
    ___________________________________________________________________
    ___________________________________________________________________
    ___________________________________________________________________
  7. Do you teach COMPETITIVE Kickboxers? _____YES _____NO
  8. Your Own Training Background In Kickboxing. (Use back if necessary)
  9. Your Competition Background (IF ANY) (Use back if necessary)
  10. Please List for us 3 References (Name, Address & Contact info - Phone & or e-mail) to Assure that YOU, your TRAINERS and your GYM/CLUB are all in Good Standing in Your Community as a True and Credible Kickboxing Gym/Club and have always acted in the best interest of the sport of kickboxing and others as well.
    1. _______________________________________________________
    2. _______________________________________________________
    3. _______________________________________________________