|Please provide accurate information for the fighter who will receive this license.
The license must be renewed every calendar year except for those purchased in December - these will be valid until the following December.
If any information on this form is deemed to be falsely submitted, the fighter and or coach may be suspended from the WKA for up to a year.
There are NO refunds! If you purchase a license but do not compete we will NOT refund your license fee.
You will receive your license at the email address provided below.
Your license will be emailed once payment has been received.
All Information below is for the fighter receiving the WKA Fighter's License
Fighter's Name (First Name / Last Name):
Fighter's Date of Birth:
Fighter's Email Address:
Amateur ($25) or Professional ($30) License?