FSKA Affiliation

FSKA Affiliation

Interested in Affiliation?

Fill-out this online form or download this word or pdf form.

Name of Applicant (required): Rank: Age:
School Name:
School Address
Street:
City/State/Province:
Country:
Postal/Zip Code:
Postal Address (If different from mailing address)
Street:
City/State/Province:
Country:
Postal/Zip Code:
Business Phone: Cell Phone:
Fax: Email (required):
Website:
Social Media (Facebook, Twitter, etc.):
Number of Dojos: Full Time:Yes No 
Number of Students: Part Time:Yes No 
Other Occupation of Applicant/Instructor:
Years in Martial Arts: Style:
Other Instructor(s):
Past or Present Affiliation: Number of Years:
History of Training, Education, Awards, etc.:
Upload Photo (at least 200x220 pixels):
Upload Copy of Certificate of Rank:
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