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New/Renewing Member
Last Name
Gender
Date of Birth
Profile Photo
Street Address
Address 2
City
Province/Territory/State
Country
Postal Code
Individual Email
Phone Number
Zone (auto-filled value is based on address)
Are you teaching karate?
If yes to Instructor, enter NCCP # (or click HERE to look it up or create one)
COACHES ONLY: NCCP levels - non coaches select 'Not Applicable'
Are you a Karate BC certified Official? If yes, indicate current level.
Parent/Guardian Name
Parent/Guardian Email
Parent/Guardian Phone
Member with a disability?
Athlete Status
As requested by Sport Canada, do you identify as Indigenous?
Do you Volunteer at events/tournaments for Karate BC?
Safety and Acknowledgement of Risk
(+) Show membership type
- Karate Canada
Coloured Belt
Black Belt
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