FSKL Dojo Registration Form
Organization/Dojo Name
Style
Other Style
#Students
Years Open
Chito-Ryu
Goju-Ryu
Ishin-Ryu
Joshinmon
Koeikan
Kyokushin Kai
Okinawa Kenpo
Renshikan
Ryobukai
Ryuei-Ryu
Shintokuakai
Shito-Kai
Shito-Ryu
Shotokan
Uechi-Ryu
Wado-Ryu
Yoshukai
Other
d
Instructor First Name
Last Name
Title
Shihan
Sensei
Senpai
Other
d
Dojo Address
City
State
Zip
a
Dojo Phone
Dojo Email
(
)
-
a
Dojo Fax
Dojo Website
d
(
)
-
-
Dojo Questionnaire
Yes
No
1. Are you familiar with the new World Karate Federation sparring rules?
2. Have you or your students competed at a tournament using the new WKF rules?
3. Are you interested in becoming a registered FSKL Dojo member?
4. Do you have a certified referee license with the USANKF?
5. Are you interested in certifying as a referee with the FSKL?
6. Are you or your students interested in competing in FSKL sponsored events?
7. Would you like to be added to the FSKL mailing list to receive event information?
Questions/Comments
Please list any comments or questions you may have. Please let us know if you would like a FSKL director to contact you with more specific information about the Florida Sport Karate League.
Comments/Questions
Please fill out the form above, print it, then mail it to
The Florida Sport Karate League
2531 NW 91st Drive
Gainesville, FL 32606