EKF National Kumite Referee Practical Training Course - 23.08.2025

Please complete this form including all mandatory fields. Registration form will be submitted upon successful payment where your form will be processed. Please contact Peter Bibby (Head of EKF Referee Education) peter.bibby@ekfreferee.com for any queries.

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EKF National Kumite Referee Practical Training Course

THIS REFEREE COURSE IS FOR NATIONAL, ASSOCIATION & NOVICE REFEREES & JUDGES

VENUE:
Ikon Martial Arts,
Showell Road,
Wolverhampton,
WV10 9LU

9:30am Registration
Kumite Practical Training 10am - 12pm
Lunch Break 12pm - 12:30pm
Kumite Simulations with Fighters 12:30pm - 2:30pm

This course is for Kumite Practical Training Only.
No Theory
No Examinations
National & Association Officials Only

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Personal Details

Applicant's Full Name: * Street Address: * Town/City * Post Code: * Email Address: * Home Telephone No.: * Mobile Telephone No.: *

Gender: *

Male Female

Date of Birth: *

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Karate Details

Registered Association/Club: * Style: * Select an option:SHOTOKANSHITO-RYU/SHUKOKAIGOJU RYUWADO RYU/WADO KAIBUSHIDO RYUOTHER Karate Grade: * Select an option:10th Dan9th Dan8th Dan7th Dan6th Dan5th Dan4th Dan3rd Dan2nd Dan1st Dan EKF Licence No.: * EKF Licence Issue Date: *

EKF Licence Expiry Date: *

I confirm that I hold the Blue & White EKF Licence Slip. Red & White EKF Slips are No Longer Valid * EKF Region * Select an option:Northern RegionMidlands RegionSouth West RegionSouth East Region Current Kumite Qualification: * Select an option:Only Kata QualifiedNo Kumite QualificationNational Kumite Judge CNational Kumite Judge BNational Kumite Judge ANational Kumite Referee BNational Kumite Referee A

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Course

Select Required Course: * Select an option:Kumite Referee Practical Course (£30 GBP)

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Notes

I confirm that I am a current EKF member and hold a Blue & White EKF Licence Slip which I will be required to show at the course *

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Declaration

For the Referees & Judges Course, I confirm that I am minimum 16yrs Old and minimum 1st Dan. * To retain an EKF Qualification, I understand that I will need to fulfil the minimum attendance requirement of 3 Events (Ref B & Below) or 4 Events Ref A & above in a calendar year *

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Signature of Applicant: *

Date: Thursday, 14 August 2025 (EDT)

Name:

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