Nominate Results

Award / Nomination Category

I have read and agree to follow the Nomination Guidelines

Name of Person or Dojo being Nominated

Nominee's Rank (if applicable)

Nominee/Dojo current mailing address (Street, City, State, Zip)

Nominee's Email Address (if available)

Nominee's Phone Number (if available)

Parent/Guardian Email Address (for junior/teen/young nominees, if available)

Parent/Guardian Phone Number (for junior/teen/young nominees, if available)

Nominee's Dojo Name (if applicable)

Nominee's Instructor / Head Instructor Name (if applicable)

Primary Nomination Summary (200 Words or Less) ? use for Reason for Nomination, Competition Summary, Instructing Contribution, Isshinryu Contributions, or Sensei Contribution as appropriate

Additional Contribution Summary (200 Words or Less, if applicable) ? use for contribution other than competition/instruction or community contributions

Your Name

Your Email Address

Your mobile (or best contact) phone number

Entry Update Date

Duplicate Entry

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