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Black Belt Promotion Fall 2024
Main School / Club
*
Please Select
Alfonso's Tae Kwon Do (Alfonso)
ATKDA-Basking Ridge (Coppola)
Blue Wave Martial Arts (Wood)
Colorado Blue Wave Martial Arts (Kluzek)
Drexel Tae Kwon Do (Schwartz)
Geneva Tae Kwon Do (Bendzlowicz)
Jun Tong Chung Do Kwan (Valley)
Mid-Hudson Tae Kwon Do (Brady)
Mid-Hudson Valley TKD-CDK (Michaelson)
Mid Hudson Tae Kwon Do, Guilderland TKD (Zizzo)
MIT Korean Karate Club (Lim)
Newark, Delaware (Morrison)
Paramount Martial Arts (Hauger)
Pure Force Tae Kwon Do (Herbst)
St. Mary's (Morrison)
SUNY Cobleskill TKD Club (Amodeo and Manny)
SUNY Oswego Tae Kwon Do (Mohammdi)
TKD Karate Chung Do Kwan of RI (Carolyn Trombi)
Tae Kwon Do Chung Do Kwan Schools (Master Kim)
Santa Barbara
United TKD Society- (Chris and Paul Kelly)
West Of The East Tae Kwon Do (Goldsmith)
Fundacion Luke Grande
-OTHER-
NOTE: IF YOU WOULD LIKE YOUR SCHOOL ADDED/REMOVED FROM THE ABOVE LIST PLEASE ADVISE THE CAMP COORDINATOR.
Please select number of students advancing
*
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Note: Price per student advancing is $75
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Student 1
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
Please Select
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 2
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 3
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 4
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 5
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 6
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 7
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 8
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 9
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 10
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 11
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 12
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 13
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 14
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 15
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 16
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 17
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 18
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
Back
Next
Student 19
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
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Student 20
Name of student advancing
*
First Name
Last Name
Name of Immediate instructor of student advancing
First Name
Last Name
Rank advancing to
*
1st Dan
2nd Dan
3rd Dan
4th Dan
5th Dan
6th Dan
7th Dan
8th Dan
9th Dan
Board Breaks to be performed (select all that apply)
Stationary Break 1
Stationary Break 2
Combination Break
Breaking prior to event
Forms to be performed (Select no more than 10 forms including optional forms and other forms that may not be listed below.)
Kuk Mu 1
Kuk Mu 2
Pyong An 1
Kuk Mu 3
Pyong An 2
Ch'ien 1
Pyong An 3
Pyong An 4
Kuk Mu 4
Pyong An 5
Palsek
Kuk Mu 5
Chul Gi 1
Ship Su
Chul Gi 2
Koryo
Chinto
Yun Bee
Chul Gi 3
Ja-On (Part 1 only)
Ja- On (Part 1 and 2)
Silla 1
Silla 2
Other Form 1
Other Form 2
Other Form 3
Sparring Round 1
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 2
1 v 1
1 v 2
1 v 3
1 v 4
None
Sparring Round 3
1 v 1
1 v 2
1 v 3
1 v 4
None
Three Steps (Note: All do 5 plus 1 best, 6 total)
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Next
Total_price
*
Scholarship fund
I would like to donate to scholarship fund
I would like to use scholarship fund
Donate to SBBC scholarship fund
USD
Amount I able to pay
Total to pay
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( X )
USD
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