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UNITED STATES MARTIAL

 

 ARTIST ASSOCIATION

 

 

Nomination Ballot for the Year of 2012

 

 

 

All areas are required to be completed before this nomination ballot will be processed.

Insure all spelling is correct.

(Self Nominations will not be honored)

 

Nominator's Information

(Must Hold 1st Degree Black Belt Minimum) (Or approved by a 1st Degree black Belt)

 

Membership Status

 

Membership Number

 

       First Name                                M.I.                                Last Name          

      Street Address                                                             City                                            State/Country   Zip

 

        Telephone                                                                      E-mail Address (if available)

 

Required Information

Belt                                Rank                             Class

 

Required Information

Style or Discipline of Martial Art

 *********************************************************************************

#1 Nominee's Information

 

Membership Status

 

Membership Number

 

       First Name                                M.I.                                Last Name          

      Street Address                                                             City                                      State/Country    Zip

        Telephone                                                                      E-mail Address (if available)

 

Required Information

 

Belt                                Rank                             Class

 

Approximate Age of Nominee

 

Required Information

Style or Discipline of Martial Art

 

Ballot Category Selection Required

 

(Nominator must give a Brief justification for category "Inspiration of the year")

*********************************************************************************

#2 Nominee's Information

Membership Status

 

Membership Number

 

       First Name                                M.I.                                Last Name          

      Street Address                                                             City                                            State/Country      Zip

        Telephone                                                                      E-mail Address (if available)

 

Required Information

 

 Belt                       Rank                    Class

 

Approximate Age of Nominee

 

Required Information

Style or Discipline of Martial Art

 

Ballot Category Selection Required

 

(Nominator must give a Brief justification for category "Inspiration of the year")

*********************************************************************************

#3 Nominee's Information

 

Membership Status

 

Membership Number

 

       First Name                                M.I.                                Last Name          

      Street Address                                                             City                                        State/Country    Zip

        Telephone                                                                      E-mail Address (if available)

 

Required Information

 

Belt                                Rank                             Class

 

Approximate Age of Nominee

 

Required Information

Style or Discipline of Martial Art

 

Ballot Category Selection Required

 

(Nominator must give a Brief justification for category "Inspiration of the year")

D23 Member Status: Select
T36 Member Number:
T1 First Name:
T2 Middle Initial:
T3 Last Name:
T4 Address:
T5 City:
T6 State/Country:
T7 Zip Code:
T9 Phone:
T10 E-mail address:
D8 Belt: Select Choice
D9 Rank: Select Choice
D10 Class: Select Choice
T21 Style:
D24 Member Status: Select
T38 Member Number:
T11 First Name:
T12 Middle Initial:
T13 Last Name:
T14 Street:
T15 City:
T16 State/Country:
T17 Zip code:
T18 Phone:
T19 E-mail:
D4 Belt: Select Choice
D5 Rank: Select Choice
D6 Class: Select Choice
T11 Age1:
T20 Style:
D7 Category: Select Choice
D25 Member Status: Select
T39 Member Number:
T22 First Name:
T23 M.I.:
T24 Last Name:
T25 Address:
T26 City:
T27 State/Country:
T28 Zip:
T29 Phone:
T30 E-mail:
D11 Belt: Select Choice
D12 Rank: Select Choice
D13 Class: Select Choice
T11 Age2:
T20 Style1:
D21 Category: Select Choice
D26 Member Status: Select
T40 Member Number:
T32 First Name:
T33 Middle Initial:
T34 Last Name:
T35:
T36 City:
T37 State/Country:
T38 Zip code:
T39 Phone:
T40 E-mail:
D15 Belt: Select Choice
D16 Rank: Select Choice
D17 Class: Select Choice
T11 Age:
T20 Style2:
D22: Select Choice
B1: Submit

D23 Member Status: Member
T36 Member Number:
T1 First Name: Grand Master Paul
T2 Middle Initial:
T3 Last Name: Irizarry
T4 Address: P.O. Box 143202
T5 City: Arecibo
T6 State/Country: PR
T7 Zip Code: 00614
T9 Phone: (787)531-7515
T10 E-mail address: irizarryskarate@yahoo.com
D8 Belt: Black
D9 Rank: 9
D10 Class: Degree
T21 Style: Kenkakai-Kan-Jitsu
D24 Member Status: Select
T38 Member Number:
T11 First Name: Sensei Paul Randall
T12 Middle Initial:
T13 Last Name: Irizarry
T14 Street: P.O. Box 143202
T15 City: Arecibo
T16 State/Country: PR
T17 Zip code: 00614
T18 Phone: (787)531-7515
T19 E-mail:
D4 Belt: Black
D5 Rank: 3
D6 Class: Degree
T11 Age1: 17 years old
T20 Style: Kenkakai-Kan-Jitsu
D7 Category: Most Dedicated Black Belt Martial Artist of the Year
D25 Member Status: Non-Member
T39 Member Number:
T22 First Name: Victor
T23 M.I.:
T24 Last Name: Cordero
T25 Address: HC - 6 Box 14407
T26 City: Hatillo
T27 State/Country: PR
T28 Zip: 00659
T29 Phone: (787)407-4871
T30 E-mail:
D11 Belt: Yellow
D12 Rank: 8
D13 Class: Kyu/Gup
T11 Age2: 43 years old
T20 Style1: Kenkakai-Kan-Jitsu
D21 Category: Special Individual Achievement
D26 Member Status: Non-Member
T40 Member Number:
T32 First Name: Jaime
T33 Middle Initial:
T34 Last Name: Vazquez
T35: Calle Maga Apt, 1
T36 City: Hatillo
T37 State/Country: PR
T38 Zip code: 00659
T39 Phone: (787)426-2416
T40 E-mail:
D15 Belt: Green
D16 Rank: 4
D17 Class: Kyu/Gup
T11 Age: 34 years old
T20 Style2: Kenkakai-Kan-Jitsu
D22: Special Martial Arts Appreciation
B1: Submit

D23 Member Status: Select
T36 Member Number:
T1 First Name:
T2 Middle Initial:
T3 Last Name:
T4 Address:
T5 City:
T6 State/Country:
T7 Zip Code:
T9 Phone:
T10 E-mail address:
D8 Belt: Select Choice
D9 Rank: Select Choice
D10 Class: Select Choice
T21 Style:
D24 Member Status: Select
T38 Member Number:
T11 First Name:
T12 Middle Initial:
T13 Last Name:
T14 Street:
T15 City:
T16 State/Country:
T17 Zip code:
T18 Phone:
T19 E-mail:
D4 Belt: Select Choice
D5 Rank: Select Choice
D6 Class: Select Choice
T11 Age1:
T20 Style:
D7 Category: Select Choice
D25 Member Status: Select
T39 Member Number:
T22 First Name:
T23 M.I.:
T24 Last Name:
T25 Address:
T26 City:
T27 State/Country:
T28 Zip:
T29 Phone:
T30 E-mail:
D11 Belt: Select Choice
D12 Rank: Select Choice
D13 Class: Select Choice
T11 Age2:
T20 Style1:
D21 Category: Select Choice
D26 Member Status: Select
T40 Member Number:
T32 First Name:
T33 Middle Initial:
T34 Last Name:
T35:
T36 City:
T37 State/Country:
T38 Zip code:
T39 Phone:
T40 E-mail:
D15 Belt: Select Choice
D16 Rank: Select Choice
D17 Class: Select Choice
T11 Age:
T20 Style2:
D22: Select Choice
B1: Submit

D23 Member Status: Member
T36 Member Number: 2011-09-0626-NC
T1 First Name: Daniel
T2 Middle Initial: C
T3 Last Name: Walker
T4 Address: 3351 Brandon Rd
T5 City: Morganton
T6 State/Country: NC
T7 Zip Code: 28655
T9 Phone: 828-448-5831
T10 E-mail address: walkermartialarts@live.com
D8 Belt: Black
D9 Rank: 1
D10 Class: Degree
T21 Style: Shorin-Shi Do Karate
D24 Member Status: Non-Member
T38 Member Number:
T11 First Name: Kathy
T12 Middle Initial:
T13 Last Name: Self
T14 Street: PO Box 1592
T15 City: Drexel
T16 State/Country: NC
T17 Zip code: 28619
T18 Phone: 828-448-1194
T19 E-mail:
D4 Belt: Non-Martial Artist
D5 Rank: Non-Martial Artist
D6 Class: Non-Martial Artist
T11 Age1: 43
T20 Style: Shorin-Shi Do Karate
D7 Category: Outstanding Contribution to the Martial Arts
D25 Member Status: Select
T39 Member Number:
T22 First Name:
T23 M.I.:
T24 Last Name:
T25 Address:
T26 City:
T27 State/Country:
T28 Zip:
T29 Phone:
T30 E-mail:
D11 Belt: Select Choice
D12 Rank: Select Choice
D13 Class: Select Choice
T11 Age2:
T20 Style1:
D21 Category: Select Choice
D26 Member Status: Select
T40 Member Number:
T32 First Name:
T33 Middle Initial:
T34 Last Name:
T35:
T36 City:
T37 State/Country:
T38 Zip code:
T39 Phone:
T40 E-mail:
D15 Belt: Select Choice
D16 Rank: Select Choice
D17 Class: Select Choice
T11 Age:
T20 Style2:
D22: Select Choice
B1: Submit

D23 Member Status: Member
T36 Member Number:
T1 First Name: James
T2 Middle Initial: A.
T3 Last Name: Pierce
T4 Address: 8747 Grissom Rd
T5 City: San Antonio
T6 State/Country: Texas
T7 Zip Code: 78251
T9 Phone: 2105198830
T10 E-mail address: jdasensei@gmail.com
D8 Belt: Select Choice
D9 Rank: Select Choice
D10 Class: Select Choice
T21 Style:
D24 Member Status: Select
T38 Member Number:
T11 First Name:
T12 Middle Initial:
T13 Last Name:
T14 Street:
T15 City:
T16 State/Country:
T17 Zip code:
T18 Phone:
T19 E-mail:
D4 Belt: Select Choice
D5 Rank: Select Choice
D6 Class: Select Choice
T11 Age1:
T20 Style:
D7 Category: Select Choice
D25 Member Status: Select
T39 Member Number:
T22 First Name:
T23 M.I.:
T24 Last Name:
T25 Address:
T26 City:
T27 State/Country:
T28 Zip:
T29 Phone:
T30 E-mail:
D11 Belt: Select Choice
D12 Rank: Select Choice
D13 Class: Select Choice
T11 Age2:
T20 Style1:
D21 Category: Select Choice
D26 Member Status: Select
T40 Member Number:
T32 First Name:
T33 Middle Initial:
T34 Last Name:
T35:
T36 City:
T37 State/Country:
T38 Zip code:
T39 Phone:
T40 E-mail:
D15 Belt: Select Choice
D16 Rank: Select Choice
D17 Class: Select Choice
T11 Age:
T20 Style2:
D22: Select Choice
B1: Submit

D23 Member Status: Member
T36 Member Number:
T1 First Name: James
T2 Middle Initial: A.
T3 Last Name: Pierce
T4 Address: 8747 Grissom Rd
T5 City: San Antonio
T6 State/Country: Texas
T7 Zip Code: 78251
T9 Phone: 2105198830
T10 E-mail address: jdasensei@gmail.com
D8 Belt: Black
D9 Rank: 4
D10 Class: Degree
T21 Style: Isshogai Ryu Karate Do
D24 Member Status: Non-Member
T38 Member Number:
T11 First Name: Don
T12 Middle Initial:
T13 Last Name: Parsons
T14 Street: 628 Gapway Road
T15 City: Andrews
T16 State/Country: SC
T17 Zip code: 29510
T18 Phone:
T19 E-mail:
D4 Belt: Black
D5 Rank: 3
D6 Class: Degree
T11 Age1: 60
T20 Style: GO JU RYU
D7 Category: Golden Life Achievement (31-40 years practice)
D25 Member Status: Non-Member
T39 Member Number:
T22 First Name: Melissa
T23 M.I.:
T24 Last Name: Lemons
T25 Address: 4107 TALAVERA TRAIL
T26 City: San Antonio
T27 State/Country: Texas
T28 Zip: 78251
T29 Phone: 13072863101
T30 E-mail:
D11 Belt: Non-Martial Artist
D12 Rank: Non-Martial Artist
D13 Class: Non-Martial Artist
T11 Age2: 34
T20 Style1:
D21 Category: Parent of the Year (Non-Martial Artist)
D26 Member Status: Non-Member
T40 Member Number:
T32 First Name: Darren
T33 Middle Initial:
T34 Last Name: Lemons
T35: 4107 TALAVERA TRAIL
T36 City: San Antonio
T37 State/Country: Texas
T38 Zip code: 78251
T39 Phone: 13072864600
T40 E-mail:
D15 Belt: Brown
D16 Rank: 2
D17 Class: Kyu/Gup
T11 Age: 40
T20 Style2: Isshogai Ryu karate do
D22: Parent of the Year (Martial Artist)
B1: Submit

D23 Member Status: Select
T36 Member Number:
T1 First Name: James
T2 Middle Initial:
T3 Last Name: Pierce
T4 Address: 8747 Grissom Rd
T5 City: San Antonio
T6 State/Country: Texas
T7 Zip Code: 78251
T9 Phone: 2105198830
T10 E-mail address: Jdasensei@gmail.com
D8 Belt: Black
D9 Rank: 4
D10 Class: Degree
T21 Style: Isshogai Ryu Karate Do
D24 Member Status: Non-Member
T38 Member Number:
T11 First Name: Jim
T12 Middle Initial:
T13 Last Name: Pierce
T14 Street: 13110 Moselle Forest
T15 City: Helotes
T16 State/Country: Texas
T17 Zip code: 78023
T18 Phone: 2103963643
T19 E-mail:
D4 Belt: Brown
D5 Rank: 1
D6 Class: Kyu/Gup
T11 Age1: 66
T20 Style: Peace Keeper Martial Arts for Health
D7 Category: Special Martial Arts Appreciation
D25 Member Status: Non-Member
T39 Member Number:
T22 First Name: Nancy
T23 M.I.:
T24 Last Name: Gomez
T25 Address: 5907 CLIFF BANK
T26 City: San Antonio
T27 State/Country: Texas
T28 Zip: 78250
T29 Phone:
T30 E-mail:
D11 Belt: Select Choice
D12 Rank: Select Choice
D13 Class: Select Choice
T11 Age2: 62
T20 Style1: Peace Keeper Martial Arts for Health Program
D21 Category: Special Martial Arts Appreciation
D26 Member Status: Non-Member
T40 Member Number:
T32 First Name: Larry
T33 Middle Initial:
T34 Last Name: Lockhart
T35: 1305 SW Loop 410
T36 City: San Antonio
T37 State/Country: Texas
T38 Zip code: 78227
T39 Phone: 2102875425
T40 E-mail:
D15 Belt: Black
D16 Rank: 10
D17 Class: Degree
T11 Age: 55
T20 Style2: Unsure
D22: Pioneer of the Year
B1: Submit

D23 Member Status: Member
T36 Member Number:
T1 First Name: James
T2 Middle Initial: A.
T3 Last Name: Pierce
T4 Address: 8747 Grissom Rd.
T5 City: San Antonio
T6 State/Country: Texas
T7 Zip Code: 78251
T9 Phone: 2105198830
T10 E-mail address: Jdasensei@gmail.com
D8 Belt: Black
D9 Rank: 4
D10 Class: Degree
T21 Style: Isshogai Ryu Karate do
D24 Member Status: Non-Member
T38 Member Number:
T11 First Name: Alivin
T12 Middle Initial:
T13 Last Name: Hewitt
T14 Street: 8747 Grissom Rd
T15 City: San Antonio
T16 State/Country: Texas
T17 Zip code: 78251
T18 Phone: 2104296938
T19 E-mail:
D4 Belt: Black
D5 Rank: 3
D6 Class: Degree
T11 Age1: 42
T20 Style: Peace Keeper Martial Arts
D7 Category: Instructor of the Year
D25 Member Status: Non-Member
T39 Member Number:
T22 First Name: Joshua
T23 M.I.:
T24 Last Name: Bodenbach
T25 Address: 8747 Grissom Rd.
T26 City: San Antonio
T27 State/Country: Texas
T28 Zip: 78251
T29 Phone: 2105205812
T30 E-mail:
D11 Belt: Black
D12 Rank: 1
D13 Class: Degree
T11 Age2: 23
T20 Style1: Isshogai Ryu Karate Do
D21 Category: Associate Instructor of the Year
D26 Member Status: Select
T40 Member Number:
T32 First Name: David
T33 Middle Initial:
T34 Last Name: Wilder
T35: 8747 Grissom Rd.
T36 City: San Antonio
T37 State/Country: Texas
T38 Zip code: 78251
T39 Phone: 2105205812
T40 E-mail:
D15 Belt: Black
D16 Rank: 1
D17 Class: Degree
T11 Age: 23
T20 Style2: Isshogai Ryu Karate Do
D22: Associate Instructor of the Year
B1: Submit

D23 Member Status: Member
T36 Member Number:
T1 First Name: James
T2 Middle Initial: A.
T3 Last Name: Pierce
T4 Address: 8747 Grissom Rd
T5 City: San Antonio
T6 State/Country: Texas
T7 Zip Code: 78251
T9 Phone: 2105198830
T10 E-mail address: Jdasensei@gmail.com
D8 Belt: Black
D9 Rank: 4
D10 Class: Degree
T21 Style: Isshogai Ryu Karate do
D24 Member Status: Non-Member
T38 Member Number:
T11 First Name: Paul
T12 Middle Initial:
T13 Last Name: Look
T14 Street: 8747 Grissom Rd.
T15 City: San Antonio
T16 State/Country: Texas
T17 Zip code: 78251
T18 Phone: 2105205812
T19 E-mail:
D4 Belt: Black
D5 Rank: 2
D6 Class: Degree
T11 Age1: 55
T20 Style: Peace Keeper Martial Arts
D7 Category: Special Martial Arts Appreciation
D25 Member Status: Select
T39 Member Number:
T22 First Name: Eleanor
T23 M.I.:
T24 Last Name: Reed
T25 Address: 8747 Grissom Rd.
T26 City: San Antonio
T27 State/Country: Texas
T28 Zip: 78251
T29 Phone: 2105205812
T30 E-mail:
D11 Belt: Black
D12 Rank: 1
D13 Class: Degree
T11 Age2: 40 ish
T20 Style1: Peace Keeper Martial Arts
D21 Category: Most Dedicated Martial Artist of the Year
D26 Member Status: Select
T40 Member Number:
T32 First Name: Raymond
T33 Middle Initial:
T34 Last Name: Johnson
T35: 8747 Grissom Rd
T36 City: San Antonio
T37 State/Country: Texas
T38 Zip code: 78251
T39 Phone: 2103871574
T40 E-mail:
D15 Belt: Black
D16 Rank: 3
D17 Class: Degree
T11 Age: 34
T20 Style2: kajukempo
D22: Instructor of the Year
B1: Submit

D23 Member Status: Member
T36 Member Number:
T1 First Name: Amy
T2 Middle Initial:
T3 Last Name: Reed
T4 Address: 377 se southwood trail
T5 City: stuart
T6 State/Country: fl
T7 Zip Code: 34997
T9 Phone:
T10 E-mail address:
D8 Belt: Select Choice
D9 Rank: Select Choice
D10 Class: Select Choice
T21 Style:
D24 Member Status: Select
T38 Member Number:
T11 First Name:
T12 Middle Initial:
T13 Last Name:
T14 Street:
T15 City:
T16 State/Country:
T17 Zip code:
T18 Phone:
T19 E-mail:
D4 Belt: Select Choice
D5 Rank: Select Choice
D6 Class: Select Choice
T11 Age1:
T20 Style:
D7 Category: Select Choice
D25 Member Status: Select
T39 Member Number:
T22 First Name:
T23 M.I.:
T24 Last Name:
T25 Address:
T26 City:
T27 State/Country:
T28 Zip:
T29 Phone:
T30 E-mail:
D11 Belt: Select Choice
D12 Rank: Select Choice
D13 Class: Select Choice
T11 Age2:
T20 Style1:
D21 Category: Select Choice
D26 Member Status: Select
T40 Member Number:
T32 First Name:
T33 Middle Initial:
T34 Last Name:
T35:
T36 City:
T37 State/Country:
T38 Zip code:
T39 Phone:
T40 E-mail:
D15 Belt: Select Choice
D16 Rank: Select Choice
D17 Class: Select Choice
T11 Age:
T20 Style2:
D22: Select Choice
B1: Submit

D23 Member Status: Member
T36 Member Number:
T1 First Name: Amy
T2 Middle Initial:
T3 Last Name: Reed
T4 Address: 377 se southwood trail
T5 City: stuart
T6 State/Country: fl
T7 Zip Code: 34997
T9 Phone: 772-631-9313
T10 E-mail address: reed_amy@bellsouth.net
D8 Belt: Black
D9 Rank: 6
D10 Class: Degree
T21 Style: ORH TKD
D24 Member Status: Non-Member
T38 Member Number:
T11 First Name: Master Nick
T12 Middle Initial:
T13 Last Name: Scrima
T14 Street: 2116 Main Street
T15 City: Dunedini
T16 State/Country: Florida
T17 Zip code: 34698
T18 Phone: 727-734-8222
T19 E-mail: info@clearwaterkungfu.com
D4 Belt: Black
D5 Rank: Select Choice
D6 Class: Select Choice
T11 Age1:
T20 Style: Shaolin Kung Fu
D7 Category: Outstanding Martial Artist of the Year
D25 Member Status: Non-Member
T39 Member Number:
T22 First Name: Grand Master Charles
T23 M.I.:
T24 Last Name: Coker
T25 Address: 1207 21st st North
T26 City: Jacksonville
T27 State/Country: Florida
T28 Zip: 32250
T29 Phone: 904-838-8585
T30 E-mail: 9MC@yeshaministries.com
D11 Belt: Select Choice
D12 Rank: Select Choice
D13 Class: Select Choice
T11 Age2:
T20 Style1: Yesha'
D21 Category: Outstanding Contribution to the Martial Arts
D26 Member Status: Non-Member
T40 Member Number:
T32 First Name: Master Gary
T33 Middle Initial:
T34 Last Name: Hernandez
T35: 4903 Allen Road
T36 City: Zephyrhills
T37 State/Country: Florida
T38 Zip code: 33541
T39 Phone: 813-782-0477
T40 E-mail: info@garyhernandezmartialarts.com
D15 Belt: Black
D16 Rank: 4
D17 Class: Degree
T11 Age:
T20 Style2: TKD & Hapkido
D22: Instructor of the Year
B1: Submit

D23 Member Status: Member
T36 Member Number:
T1 First Name: Amy
T2 Middle Initial:
T3 Last Name: Reed
T4 Address: 377 SE Southwood Trail
T5 City: Stuart
T6 State/Country: Fl
T7 Zip Code: 34997
T9 Phone: 772-631-9313
T10 E-mail address: reed_amy@bellsouth.net
D8 Belt: Black
D9 Rank: 6
D10 Class: Degree
T21 Style: ORH TKD
D24 Member Status: Non-Member
T38 Member Number:
T11 First Name: Sensei Dave
T12 Middle Initial:
T13 Last Name: Roth
T14 Street: 1140 19th St
T15 City: Vero Beach
T16 State/Country: Florida
T17 Zip code: 32960
T18 Phone: 772-563-9333
T19 E-mail: floridakarate@hotmail.com
D4 Belt: Black
D5 Rank: 4
D6 Class: Degree
T11 Age1:
T20 Style: Seibukan shorin-ryu karate
D7 Category: Instructor of the Year
D25 Member Status: Non-Member
T39 Member Number:
T22 First Name: Master Jeff
T23 M.I.:
T24 Last Name: Wade
T25 Address: 4542 SW 75th Ave
T26 City: Miami
T27 State/Country: Fl
T28 Zip: 33155
T29 Phone: 305-265-7404
T30 E-mail: miamitkd.com
D11 Belt: Black
D12 Rank: 6
D13 Class: Kyu/Gup
T11 Age2:
T20 Style1: Taekwondo
D21 Category: Master of the Year (5th and 6th Degree)
D26 Member Status: Select
T40 Member Number:
T32 First Name:
T33 Middle Initial:
T34 Last Name:
T35:
T36 City:
T37 State/Country:
T38 Zip code:
T39 Phone:
T40 E-mail:
D15 Belt: Select Choice
D16 Rank: Select Choice
D17 Class: Select Choice
T11 Age:
T20 Style2:
D22: Select Choice
B1: Submit

D23 Member Status: Member
T36 Member Number:
T1 First Name: Amy
T2 Middle Initial:
T3 Last Name: Reed
T4 Address: 377 Se southwood Trail
T5 City: Stuart
T6 State/Country: florida
T7 Zip Code: 34997
T9 Phone: 772-631-9313
T10 E-mail address: reed_amy@bellsouth.net
D8 Belt: Black
D9 Rank: 6
D10 Class: Degree
T21 Style: ORH TKD
D24 Member Status: Non-Member
T38 Member Number:
T11 First Name: Master Sean
T12 Middle Initial:
T13 Last Name: Griffin
T14 Street: 4150 Hancock Bridge Parkway
T15 City: North Fort Myers
T16 State/Country: Florida
T17 Zip code: 33903
T18 Phone: 239-997-8990
T19 E-mail: griffinmartialarts.com
D4 Belt: Black
D5 Rank: 5
D6 Class: Degree
T11 Age1:
T20 Style: Koammudo, TKD, Hapkido
D7 Category: Outstanding Martial Artist of the Year
D25 Member Status: Non-Member
T39 Member Number:
T22 First Name: Michael
T23 M.I.:
T24 Last Name: Black
T25 Address: 4000 W Newberry Rd
T26 City: Gainesville
T27 State/Country: Florida
T28 Zip:
T29 Phone: 371-1007
T30 E-mail: globalmmaacadey@gmail.com
D11 Belt: Black
D12 Rank: 6
D13 Class: Degree
T11 Age2:
T20 Style1: Shorinji-ryu karatedo
D21 Category: Master of the Year (5th and 6th Degree)
D26 Member Status: Select
T40 Member Number:
T32 First Name:
T33 Middle Initial:
T34 Last Name:
T35:
T36 City:
T37 State/Country:
T38 Zip code:
T39 Phone:
T40 E-mail:
D15 Belt: Select Choice
D16 Rank: Select Choice
D17 Class: Select Choice
T11 Age:
T20 Style2:
D22: Select Choice
B1: Submit