Page 1 of 2
ISKA CANADA –
ATHLETE MEMBERSHIP
REGISTRATION FORM
International Sport Kickboxing Association – Canada
Celebrating 40 Years
of ISKA Worldwide.
SECTION 1
– ATHLETE INFORMATION
Participant
Information
*
*
*
*
Gender
*
Gender
A
Male
B
Female
C
Other / Prefer not to say
*
Physical
Address
:
*
*
*
*
*
*
Mailing Address (
if different
)
*
Mailing Address (if different)
Same as physical address
If not,
enter
SECTION 2
– CLUB AFFILIATION
Club
Information
*
(If Independent, write '
Independent
')
SECTION 3
– DISCIPLINE / STYLE
*
Please
select all
that apply
SECTION 3 – DISCIPLINE / STYLE
Point Fighting
Semi-Contact
Light Contact
Kick Light
Full Contact Kickboxing
Low Kick
K-1 Style Kickboxing
Unified Rules Kickboxing
Boxing
Muay Thai
Creative Forms
Musical Forms
Traditional Forms
Weapons Forms
SECTION 4
– COMPETITION LEVEL
*
Please
select all
that apply
SECTION 4 – COMPETITION LEVEL
Level E – Beginner / First-time competitor
Level D – Novice
Level C – Intermediate
Level B – Advanced
Level A – Elite / Class A
Master Division (35+)
Junior Division (Under 18)
Senior Division (18–34)
SECTION 5
– EXPERIENCE DETAILS
Years
of Training
Approximate
Number of Competitions
Untitled checkboxes field
1-3
4-10
10+
None
Current
Rank / Belt
(if
applicable
)
SECTION 6
– MEDICAL REQUIREMENTS
Athletes Age 14–17:
Must submit
a completed Physical Examination Form signed by a licensed physician.
Athletes Age 18 and Over:
Must submit
a Full Medical Examination including complete physical exam and blood test.
Medical
documents must be valid
and up to date prior to participation.
SECTION 7
– REQUIRED DOCUMENT UPLOADS
• Signed ISKA Canada Waiver & Release Form
• Medical Examination Form (based on age category)
• Government-issued Photo ID (if required)
Upload
Waiver
*
Click to choose a file or drag here
Upload
Medical
Form
*
Click to choose a file or drag here
Upload
ID
*
Click to choose a file or drag here
SECTION 8
– ATHLETE DECLARATION
Untitled checkboxes field
I confirm that all information provided is accurate.
*
I understand combat sports involve risk of injury.
I agree to follow all ISKA Canada rules and Safe Sport policies.
I understand failure to submit required documents may result in suspension.
Athlete
Signature
(
Parent/Guardian
Signature if under 18)
*
Athlete Signature (Parent/Guardian Signature if under 18)
Annual
Athlete Membership
Fee $40.00
Pay by
e-Transfer
*
Send payment via Interac e‑Transfer to
payments@iskacanada.ca
*
Questions:
Contact ISKA Combat Sport Association iskacanada.ca/
Submit
