IIKA National Championships and Award Banquet

Saturday September 10th 2022 Manchester Tennessee

The deadline for making your nomination is Wednesday August 17th 2022 12:00 midnight C.S.T.

Please complete the information below, some fields are required in order to submit form.

Please fill in the reason why this Karate-ka is being nominated for this award.

Please fill in your personal information. (Person making the nomination)

Thank you for your nomination.

I Have Read The Nomination Requirements Page And Understand That My Nomination May Be Disqualified If It Does Not Meet The Minimum Standards and that it must be 250 words or less.
- Yes
Award Division - Please Select___
Name Of Award Nominee_______
Age________________________
Street Address_______________
City________________________
State_______________________
Zip Code____________________
Phone Number_______________
Head Sensei_________________
Home Dojo__________________
Nomination Information 250 words or less
Your Name__________________
Phone Number_______________
Email Address_______________
Submit

Thank you for making your nomination.

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