HomezAthlete Registration (inactive)

    Membership Status *

    First Name *

    Last Name *

    Address *

    Apt, suite, etc.

    Country *

    Town or Suburb:

    Postal Code: *


    Date of Birth *

    Mobile Phone *


    What age will you be as of the athlete age cut-off date for the National Championships 25/8/23

    Parent / Guardian Name *

    Parent / Guardian Mobile Phone Number *

    Parent / Guardian E-mail

    Club / Organisation Name

    Head of Style Name

    Personal Coach Name

    You must be insured to compete in AKF competitions. I am insured through my Club / Organisation.

    AKF Membership Number

    AKF National Championships.

    Please nominate your category(s) for State Team Selection.


    Female Kumite

    Male Kumite


    If you suffer from any recurring injury physical disabilities or disorders, please provide details.

    If you have suffered any recent illness or injuries, please provide details.

    Further Medical Details: If you have any further details which may assist us in taking care of you during the training and/or event please document them here. You may also wish to discuss any concerns with the WAKF personally.

    Nomination as a Volunteer (WAKL Events)*

    State Team/Squad Members are required to Volunteer at Minimum 3 WAKL / State Tournaments. If you are not able to help then a family member is required to volunteer.

    State Events available to Volunteer at:-*

    As above states that it is a requirement as a State Team member to volunteer at 3 events. If you are not able to help then a family member is required to help. If a parent is helping at the Nationals you will be able to take time out to watch your child/children compete.


    By completing this form you consent for an WAKF representative to authorise emergency medical treatment on the advice of a qualified medical practitioner. In addition, consent is also authorised for a qualified WAKF representative to administer first aid in the case of an accident or minor ailment occurring in related Squad/Team activities and/or event with the State Team.

    Full Name


    I, the undersigned, in consideration of, and as a condition of acceptance of my membership to the WAKF State Squad for 2023 for myself, heirs, executors and administrators, hereby waive all and any claims, which I or they might otherwise have, arising out of any loss of life, injury or loss of any description whatsoever, which I may sustain in the course of or as a consequence of my training with the said Organisation. The waiver, release and discharge shall be in favour of all persons, joint or severally involved in the instruction or management of the said Organisation.
    I have read and understood, and as a condition of acceptance of my membership to the WAKF State Squad for 2023, hereby agree to the conditions set out in the State Team Policy & Guideline and Code of Behavior provided on the WAKF website.


    Parent / Guardian Name

    If under the age of 18