2022 Martial Arts Hall of Honor: Application for Induction

2022 Martial Arts Hall of Honor: Application for Induction
Applicant/Inductee Information
Preferred Title
Other Preferred Title
Applicant Name *

First Name Last Name
Gender *

Male Female
Best Phone Number *

Area Code Phone Number
E-mail *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Primary Martial Arts Discipline *
Other Primary Martial Art
Karate Style
(Karate Only)
Other Karate Style
Primary Martial Arts Rank *
Secondary Martial Arts Discipline
Other Secondary Martial Art
Secondary MA Karate Style
(Karate Only)
Secondary MA Other Karate Style
Secondary Martial Arts Rank
Current Martial Arts School *
"Other" Martial Arts School
Name of your Origin School (Your First School)
City/County of your Origin School
Name of the organization that issued your rank in your primary martial art
Cert# and Date
Rank from other organization(s)
Cert# and Date
Please upload the following documentation:

1) Passport Sized Headshot Photo
2) Your Martial Arts Resume and documentation of any other acheivements (including academic and community service)
3) Copy of all relevant certificates indicating rank, awards, seminars, etc.
Upload All Required Photo and Documents Here. You may upload multiple files

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For which Hall of Honor were you nominated?
For which Hall of Honor category level were you nominated?
Martial Arts References

(You may include the person who nominated you to the Hall of Honor)
Reference #1: Name

First Name Last Name
Reference #1: Primary Martial Arts Discipline
Reference #1: Other Primary Martial Art
Reference #1: Karate Style
(Karate Only)
Reference #1: Other Karate Style
Reference #1: Rank
Reference #1: Best Phone Number

Area Code Phone Number
Reference #1: Email
example@example.com
Reference #1: Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Reference #2: Name

First Name Last Name
Reference #2: Primary Martial Arts Discipline
Reference #2: Other Primary Martial Art
Reference #2: Karate Style
(Karate Only)
Reference #2: Other Karate Style
Reference #2: Rank
Reference #2: Best Phone Number

Area Code Phone Number
Reference #2: Email
example@example.com
Reference #2: Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Hall of Honor Application Fee
Adult Award Recipient (Please make sure you have completed the induction application)
$100 Application fee. Nominee banquet tickets may be purchased at www.bocworldgames.com. NO REFUNDS
Junior Award Recipient (Please make sure you have completed the Induction Application)
$40 Application fee. Nominee banquet tickets may be purchased at www.bocworldgames.com. NO REFUNDS
Name of your dinner guest
Name of your guest for Special Hall of Honor Guest Pass
Special Coupon Code
Discount Percent
Discount
Calculation

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USD Application Fee Total

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

AFFIRMATION- I hereby submit my application to the Bruce Lee and Legends of Martial Arts Hall of Honor and BOC Hall of Honor 2022. I affirm that all information I have provided in support of the above application is truthful. I agree that if any false information has been provided in support of my application, the application will be rejected and, if inducted, I will be removed from the Hall of Honor. I also understand that any pictures and video recording of me participating in said event may be used without compensation.
Affirmation *

I Affirm
Security
Security *
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2022 Martial Arts Hall of Honor: Application for Induction

Applicant/Inductee Information

Martial Arts References

Hall of Honor Application Fee

Security