Wufoo
SKKAA-Order Form-Ceremonial Certificate
Please use this form to order an official Ceremonial Certificate from the SKKAA. Please allow 4-8 weeks for delivery. Certificates will be mailed to the dojo where you train.
Date
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Email address of person placing the order
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Dojo (school) where student trains
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Please select below
Shorin-ryu Karate Academy (Waltham, MA)
Okinawan Karate Center (Chesterland, OH)
Wyoming Karate Club (Jackson, WY)
Seishin Karate Club (Columbus, OH)
Heijoshin Karate Club (Brookline, NH)
Hansen Family Karate Club (Granville, OH)
Earth and Cup Dojo
Unaffiliated or Unknown
Student's Name (Enter EXACTLY how you want it to appear on the certificate)
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Is this certificate for rank in Karate or Kobudo?
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Karate (empty hand)
Kobudo (weapons)
Rank Level
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Date of Promotion (month/day/year)
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Type of certificate
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Shodan in Karate ONLY (no fee) - test date must be after January 1, 2013 and ordered within 1 year of test date
All other certificates - $35 fee
After hitting the "Next" button below be sure to make your payment
Renewals submitted without payment will not be honored
Please check the box below.
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Do Not Fill This Out