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Create an Account

NOTE: To apply for a combative or officials license you must have an account.

To create an account please fill in the information below. Once your account is created you will be able to begin your license application.

Please use a valid email address. Your email address will be your account username. Also, we will use your email address to send you important information regarding your application status.

*First Name:
*Middle Name:
*Last Name:
*Email Address:
*Re-Type Password:
*Verification Code:
*All fields are required