| 1. GENERAL INFORMATION: | | Approved |
| Name of tournament: | | |
| Date of tournament: | | |
| Place of tournament: | | |
| Country of tournament: | | |
| Organizer / promotor of tournament: | | |
| Web page of tournament: | | |
| National kickboxing federation: | | |
| 2. VENUE | | Approved |
| Name of venue: | | |
| Capacity of venue: | | |
| Address of venue: | | |
| Web page (if any): | | |
| 3. COMPETITION | | Approved |
| Disciplines: | | |
| Age categories: | | |
| List of all competition categories in attachment: | YES £ NO £ | |
| Brochure of competition in attachment: | YES £ NO £ | |
| Poster of competition in attachment: | YES £ NO £ | |
| 4. OFFICIALS | | Approved |
| Organizer of tournament: | | |
| Organizer’s contact email: | | |
| Organizer’s contact phone: | | |
| Chief referee: | | |
| Consent of the WAKO Referee Committee | YES £ NO £ | |
| Chief doctor: | | |
| Consent of the WAKO Medical Committee | YES £ NO £ | |
| Safeguarding officer | | |
| Consent of the WAKO Safeguarding Committee | YES £ NO £ | |
| Sport Data administrator | | |
| 5. FEE and CALENDAR | | Approved |
| 750 £/1500 £/2000 £/4000 £ € fee paid | YES £ NO £ | |
| Registrations opened on Sport Data web | YES £ NO £ | |
| Included in the WAKO calendar | YES £ NO £ | |
| Published on the WAKO web page | YES £ NO £ | |
| Name: | | | | | |
| Date: | | | | | |
| Sign: | | | | | |