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KUKKIWON CERTIFICATE REGISTRATION FORM by jry13335

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									                 KUKKIWON CERTIFICATE REGISTRATION FORM

Name:
Address:
City:
Province:
Postal Code:
Email:
Home Phone #:

Kukkiwon #:
Kukkiwon Dan Level:
Date Last Certificate Issued:
Birthdate:

School/Club:
Coach/Master:
School/Club Email:
School/Club Phone #:

Please attach:
       A copy of your latest Kukkiwon Certificate
       Cheque for the correct amount made out to Taekwondo Canada as per the new
       registration prices according to “Kukkiwon Policy Price Change” link on
       Taekwondo Canada’s website,


______________________
Signature

Please mail to:
Taekwondo Canada
506-1376 Bank Street
Ottawa, ON
K1H 7Y3

Note: Please ensure your future Kukkiwon Certificate Applications go through
Taekwondo Canada so you can avoid having to register future Certificates with
Taekwondo Canada.

								
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