WKA Cornerman's License Application

Complete the form below - after you click Submit you will be sent to the PayPal website to pay for your annual Cornerman's license (expires December 31st of the year).  Once payment has been received you will receive your license via email.
 
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Gym Info
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I certify that the competitors listed below are trained and competent in skill to take part in a combative sports competition.
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