Grading Registration - September 2024
Fill out the form carefully for registration. One form is to be filled out per student. There is a limit of 10 available spots for grading.
Student Name (as it is to appear on certificate)
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
*
Email
*
example@example.com
What is your belt size? (Usually 1 size larger than GI)
*
Please Select
9
8
7
6
5
4
3
2
1
0
Current kyu rating? (Beginning students must test for 10th kyu)
*
Please Select
Beginning White Belt
10 kyu White Belt
9 kyu Yellow Belt
8 kyu Yellow Belt
7 kyu Green Belt
6 kyu Green Belt
5 kyu Blue Belt
4 kyu Blue Belt
3 kyu Brown Belt
2 kyu Brown Belt
1 kyu Brown Belt
Child Shirt Size (Standard Sizes):
Child Small
Child Medium
Child Large
Child X-Large
Adult Shirt Size (Standard Sizes):
X-Small
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
5X-Large
Please select the first Kyu you will be testing for (Maximum of two per grading)
*
Please Select
10 kyu White Belt
9 kyu Yellow Belt
8 kyu Yellow Belt
7 kyu Green Belt
6 kyu Green Belt
5 kyu Blue Belt
4 kyu Blue Belt
3 kyu Brown Belt
2 kyu Brown Belt
1 kyu Brown Belt
Please select second kyu you are testing for (optional):
Please Select
10 kyu White Belt
9 kyu Yellow Belt
8 kyu Yellow Belt
7 kyu Green Belt
6 kyu Green Belt
5 kyu Blue Belt
4 kyu Blue Belt
3 kyu Brown Belt
2 kyu Brown Belt
1 kyu Brown Belt
Please select weapons kata you are testing for (optional):
Please Select
Katana
Sai
Bo
Tinbe Rochin
Kusarigama
Naginata
Nunchaku
Tonfa
Tessen
Kama
Tekko
Nunti Bo
Suruchin
Yari
Essay: How the practice of karate has impacted my life.
*
May we use your above essay on our website?
*
Yes
No
Grading Options:
*
prev
next
( X )
Testing Fee
(Required: 1st Kyu included)
$
25.00
Additional Kyu
If testing for more than one kyu.
$
10.00
Late Fee
(If submitted after Aug 30)
$
10.00
Geo Stamp
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit Application
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