Grading Registration

Grading Registration

Hayashi-Ha Shitoryu-kai Karate-do Singapore
Your Details
Full Name (as in NRIC)*
First Name*
Last Name*
Date of Birth*

DayMonthYear
MaleFemale
Weight*
TPSITITEJuniorOther
Your Current Grade*
Please choose your current grade, you may refer to our grade chart with the following link
Belt Size
Only if you're grading for 1st Dan, 4th Kyu and 7th Kyu.
Grading Date*
Your Contact Details
Contact Number*
Format: +00 0000 0000.
Contact Email*
example@example.com
Emergency Contact

In case of emergency will contact your listed emergency contact details
Emergency Contact Name*
Emergency Contact Phone Number*
Format: +00 0000 0000.
Emergency Contact Relationship*
Declaration

I, {fullName} undersigned, release Singapore Hayashi-Ha Shitoryu Kai and everyone connected with, directing, promoting, refereeing or judging in this event from all responsibilities due to accidents, loss of life due to injury or accident that may occur during the entire event or as a direct or indirect result of this event. A parent or guardian must sign this release and consent if the member/participant is under the legal age of 21 years old.
Signature of Applicant*

Clear
Signature of Parent/Guardian (if applicant is below 21 years old)

Clear
Today's date

MonthDayYear
Date
Age
Result
Remarks
Should be Empty:

Your Details