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ISKA CANADA –
OFFICIAL ISKA CERTIFICATION
COURSES
International Sport Kickboxing Association – Canada Celebrating 40 Years of ISKA Worldwide
SECTION 1
– PERSONAL INFORMATION
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Gender
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Gender
Male
Female
Other / Prefer not to say
Mailing
Address
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Emergency
Contact
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SECTION 2
– OFFICIAL CATEGORY (Select all that apply)
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Referee
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Judge
Timekeeper
Scorekeeper
Ringside Official
Chief Official
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SECTION 3
– DECLARATION
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I confirm that all information provided is accurate.
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I agree to uphold ISKA Canada rules and regulations.
I agree to follow Safe Sport policies and ethical standards.
Official
Signature
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Signature
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Annual
Official ISKA Certification
Fee
$150.00
Pay by
e-Transfer
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Send payment via Interac e‑Transfer to
master@goldenglory.ca
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SUBMIT
