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    If you have not already received a certificate AND you achieved Gold, Silver or Bronze in any event, please complete this form. We will send a certificate with your name handwritten in in English and Japanese to your dojo instructor. Please note that we will only provide 1 certificate even if you won in more than 1 event.

    Please enter your name as you wish it to appear on the certificate.
    First Name

    Last Name

    Email
    DON'T use yahoo, aol and hotmail because these legacy domains don't work well with our system and you may not receive confirmation.

    Dojo where you train

    Categories
    Please tick the categories you achieved Gold, Silver or Bronze in:
    Individual KataTeam KataKumite