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WKO - Member Licence - Application Form
Once you have filled your members details into the form. WKO Office shall process and post your member licence.
Email address *
New or Existing Member *
First Name *
Your answer
Surname *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Club Name *
Your answer
Name of Instructor/Coach *
Your answer
Primary Martial Art? *
Licence Number (If Renewal) *
Your answer
Application date *
MM
/
DD
/
YYYY
Membership Level *
Have you been refused a licence before? *
Member Declaration *
Further Information: If answered yes to having a medical condition what is your current medical condition? (Put NA if not applicable) *
Your answer
Member Address *
Your answer
A copy of your responses will be emailed to the address you provided.
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