WTSDA Dan Promotion Registration Form

Date of the Test*

If not sure, please enter July 1st in the testing year for Spring cycle, and December 1st in the testing year for the Fall cycle

Region*

If you are not sure what Region the applicant belongs to, please confirm your region by visiting https://worldtangsoodo.com/regions

Country

Association Membership Number*

5 digit number for Dan and 6 digit number for Cho Dan Bo without comma, #, nor 0 in front of Dan number

Name*

First Name (Nombre)Last Name (Apellido)

Studio/Club Name*

Please Choose the Dojang name the applicant is training at.

Studio Name

Other:

If the name of the Studio/Club is not listed above, please enter your school name above.

Chief Instructor Name*

Region Value

Candidate's Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Nationality

Please enter your nationality if the county in your current address above is different from your nationality.

Date of Birth*

Please use date picker for the accurate date format

Phone Number*

Country CodeArea CodePhone Number

Email*

This email address will be used for your log-in ID on worldtangsoodo.com in the future. If the email is registered for another member of the Association, please use different email address from an existing email address.

Current Rank*

Testing Rank*

Dan Membership*

Please choose Black Belt membership period. If you are Cho Dan Bo, minimum 3 years of Dan membership is required. If you are testing in the Fall cycle, and your membership expires at the end of the year, you are also required to renew your membership with your test. A discounted rate for Gold membership upon Cho Dan test is available. Please check with your instructor for the details. Payment for the Dan membership will be collected by the Region.

ID Photo*

.jpg or .jpeg file format only

Instruction for ID photo upload

1. Please choose photo upload method. You can take a picture using camera on your device you are submitting the application form with(option 1). Alternately, you can upload a picture you already have using uploader(option 2).

2. Please take a picture or upload your recent photo in uniform.

3. If you upload photo, please make sure the area that shows your face is in a resolution of 300 dpi or higher(pixel dimension of 600x600) for good quality print on your ID card and the certificate. Please see the pictures below for more details. If you are not sure how to trim a picture in a prefered size, you don't need to trim the picture. Please just upload the original picture file from your device.

4. Please use .jpg or .jpeg file format only when you upload a picture.

5. If possible, please do not use space, parentheses, or any other special characters in the picture file name. Please use only alphanumeric characters in the picture file name.

(For example, johndoeChoDan.jpg or marysmith48695.jpg)

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Essay and other additional documents*

Please upload your 1000 word, 2000 word, or 3000 word essay. Please upload files in only doc, docx, or pdf file format here. If you have any other documents to send to the Regional Director or HQs, please upload them using this uploader. You can upload more than one document.

Do you need to upload a medical waiver form (Request for Special Consideration)?

Medical Form Uploads

Resume(Region 9 only)*

For the resume:

Summarize your promotion history for Cho Dan and above as well as your participation at regional and WTSDA events (clinics, tournaments, etc). Place each entry on its own line and use the following format:
• Cho Dan Bo - Test Date (for all Dan test candidates)
• Cho Dan - Test Date (for E Dan and Sam Dan candidates)
• E Dan - Test Date (for Sam Dan candidates only)
• Event Date - Event Name / Location
• Event Date - Event Name / Location
• ......

Community Service(Region 9 only)*

For the community service:

WTSDA Founder Grandmaster Shin strongly believed in the importance of community service and giving back. Region 9 wants to encourage our students to be contributing members of our society. As of the August 2023 black belt test, community service will be required for all of our regional Black Belts and Cho Dan Bos prior to testing for their next rank. Anything you volunteer to do to help your neighbor, school, organization, or government is a type of community service.

Minimum number of hours required at each rank: 4 hours as a Cho Dan Bo, 8 hours as a Cho Dan, and 12 hours as an E Dan.

Summarize your community service since your last promotion. Place each entry on its own line and use the following format:
• Service Date - Service Description - Service Length (in hours)
• Service Date - Service Description - Service Length (in hours)
• ...

Applicant's Signature*

Parent's or legal guardian's signature if the applicant is under the age of 18.

WTSDA Membership Agreement

I, the signed applicant above, hereby agree to observe all the rules and regulations of the World Tang Soo Do Association. I will not violate any of the membership conditions as outlined in the current Dan manual. If at any time I violate any of the conditions therein or if I violate any of the following conditions expressly agreed upon between the WTSDA, my studio, and me, I will agree that the WTSDA and my studio reserve the right to withdraw my membership and/or revoke my rank.

1. I pledge to protect the honor and dignity of the Art of Tang Soo Do through my behavior inside and outside of the Dojang.
2. I am prohibited from using or executing any Tang Soo Do or other Martial Arts techniques unless it reasonably appears necessary to defend myself or another against an apparent threat of unlawful and immediate violence from another.
3. I will not engage in the demonstration or instruction of the Art of Tang Soo Do in any form whatsoever or under any circumstances without the express written permission of the WTSDA and/or my studio.
4. If I ever become inactive for a period of more than three (3) months or if I ever become lackadaisical in my training, my rank may be re-evaluated and I may be demoted to the appropriate rank.
5. I agree that if I ever cease to be a member of the Association, whether voluntarily or involuntarily, I will not hold myself out as a current member of the WTSDA. I further agree to refrain from displaying or showing any certificate or identification card which contains the WTSDA trademark and/or WTSDA logo, both of which are protected by U.S. Trademark Registration No. 1,327,588.
6. I agree it is the total discretion of the WTSDA and/or my studio to suspend or expel any member for conduct unbecoming. Conduct unbecoming is determined as any conduct which is not in keeping with the standards of the WTSDA. Any member who is suspended or expelled from the Association may not train or participate in the events at any WTSDA member studio.

I have read and fully understand this agreement and agree that all the terms and conditions shall be deemed to exist and bind all of the parties herein signed on the front of this agreement.

Agreement for Black Belt Examination

I, the signed applicant above, hereby agree to abide by and observe all the rules and regulations of the World Tang Soo Do Association and will accept any grade or belt rendered by this Association with complete satisfaction, neither contesting nor demanding a higher grade or belt.

The Association hereby agrees to furnish a competent judge and adequate facilities for the promotion examination and will also issue an identification card and certification in accordance with the requirements listed in the current Black Belt Manual. I understand and agree that the promotion examination fee is not refundable under any circumstances.

I recognize the strenuous nature of this activity and I agree to hold the WTSDA, its officers, instructors, testing examiners, guests and members, my affiliated studio and the location where this promotion examination is being conducted harmless of any liability or damages for personal injuries I may sustain during said promotion examination.

I further agree that any pictures taken of or by me in connection with said examination may be used by the WTSDA for publicity or promotion purposes without compensation at this time or any other time.

If I successfully complete the requirements for Black Belt rank, I hereby agree that I will not violate any of the following conditions of membership as outlined in the current Black Belt Manual. If at any time I violate any of the conditions therein or if I violate any of the following conditions expressly agreed upon between the WTSDA, my studio and me, I will agree that the WTSDA and my studio reserve the right to withdraw and revoke any rank and/or status. I agree to pay any and all liquidated damages to the WTSDA as a result of violating the above conditions and/or rules and regulations of the WTSDA. Said liquidated damages shall be fair and reasonable.

1. I will strictly adhere to the attendance requirements of the WTSDA and my member studio and will participate in the number of classes, seminars, clinics and other activities determined by the WTSDA and my studio as part of the requirements for my rank and grade to enhance my mental, physical and spiritual health.

2. I pledge to protect the honor and dignity of the Art of Tang Soo Do through my behavior inside and outside of the dojang.

3. I am prohibited from using or executing any Tang Soo Do techniques or other martial arts techniques unless it reasonably appears necessary to defend myself or another against an apparent threat of unlawful and immediate violence from another.

4. I will not engage in the demonstration or instruction of the Art of Tang Soo Do in any form whatsoever or under any circumstances without the express written permission of the WTSDA and/or my studio.

5. I agree it is the total discretion of the WTSDA to suspend or expel any member from his or her membership or from the WTSDA for conduct unbecoming a member of the WTSDA. Conduct unbecoming is determined as any conduct which is not in keeping with the standards of the WTSDA. Any member who is suspended or expelled from the WTSDA may not train or participate in events at any member studio. Any studio owner, after notice of said member’s suspension or expulsion, who allows that member to train at their studio or participate in studio events will risk the loss of their studio membership in the WTSDA.

6. I understand that the WTSDA must strictly regulate the location of new member studios, clubs, schools, and facilities in order to protect the privileges and rights duly accorded to every existing member studio. Therefore, I hereby agree that the WTSDA has the exclusive right to decide and regulate the location of new member studios and/or clubs which are opened or established within fifteen (15) miles from the location of any existing sanctioned WTSDA studio or club. I acknowledge that a violation of this provision may cause extensive damage to the Association and its member studios and I expressly agree not to violate same.

7. If I ever become inactive for a period of more than three (3) months or if I ever become lackadaisical in my training after my promotion to Black Belt, my rank may be re-evaluated and I may be demoted to a lower rank.

8. I agree that if I ever cease to be a member of the Association, whether voluntarily or involuntarily, I will not hold myself out as a current member of the WTSDA. I further agree to refrain from displaying or showing any certificate or identification card which contains the WTSDA trademark and/or WTSDA logo, both of which are protected by US Trademark Registration No. 1,327,588.

I have read and fully understand this agreement and agree that all the terms and conditions shall be deemed to exist and bind all of the parties herein signed on the front side of this agreement.

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