Kyokushin Karate Fitness USA - United States Kyokushin Karate

Kyokushin Karate Fitness USA
482 Ridge Road West * Rochester, New York 14515 * 585-663-7680
In affiliation with the
International Federation of Kyokushin Karate (IFKK)
Application for Fighting Affiliation Dojo - $75
Dojo Name ______________________________________________________________
Dojo Style _______________________________________________________________
Owner / Head Instructor ___________________________________________________
Address _________________________________________________________________
City / State / Zip __________________________________________________________
Telephone __________________________________ Fax _________________________
Email ____________________________________ Website _______________________
I have read and understand the terms stated in becoming an IFK/USA Affiliate Fighting
School. I agree to follow all rules and regulations of the IFK. I understand that I am
required to attend IFK/USA seminars, clinics, and/or tournaments when the opportunity
arises. Affiliate schools should meet and/or attend an IFK/USA event or school at least
once per year AND maintain regular communication with the IFK/USA. I also understand
that I will not be certified in any KYOKUSHIN ranking. I will also carry the best possible
image and represent the USA/IFK with humbleness, humility and honor.
_______________________________________
Owner of school
___________________________
Date
Comments ______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
(office use only)
Approved / Declined ____________________________________________________________________________________________________
Amount Paid __________________________________________________________________________________________________________
Comments ____________________________________________________________________________________________________________
Kyokushin Karate Fitness USA
482 Ridge Road West * Rochester, New York 14515 * 585-663-7680
In affiliation with the
International Federation of Kyokushin Karate (IFKK)
Application for Individual Fighter Affiliation $20 ($10 renewal)
Name of fighter _____________________________________ Rank ________________
Dojo Name & Style ________________________________________________________
Owner / Head Instructor ___________________________________________________
Address _________________________________________________________________
City / State / Zip __________________________________________________________
Telephone __________________________________ Fax _________________________
Email ____________________________________ Website _______________________
I have read and understand the terms stated in becoming an IFK/USA Affiliate Fighting
School. I agree to follow all rules and regulations of the IFK. I understand that I am
required to attend IFK/USA seminars, clinics and/or tournaments when the opportunity
arises. Affiliate schools should meet and/or attend an IFK/USA event or school at least
once per year AND maintain regular communication with the IFK/USA. I also understand
that I will not be certified in any KYOKUSHIN ranking. I will also carry the best possible
image and represent the USA/IFK with humbleness, humility and honor.
___________________________ ________________ ___________________________
Fighter
Date
Instructor
Comments ______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
(office use only)
Approved / Declined ____________________________________________________________________________________________________
Amount Paid __________________________________________________________________________________________________________
Comments ____________________________________________________________________________________________________________