VIDEOS ARE DUE 1 MONTH PRIOR TO THE TESTING DATE
Students testing for green belt rank or above must submit their video test as a YouTube link below. Make sure all information is accurate and only submit your link one time. Please note, video tests take
up to 4 weeks
to review. Results and confirmations will be emailed to the email address you provide below. Questions - email
coach.v@kaizenkaratemd.com
. Lastly, students must register and pay for the test PRIOR to submitting the video links below.
Student Name
*
First Name
Last Name
Parent Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Name of primary instructor
*
Coach V
Coach Chris
Coach Zach
Coach David
Coach Nina
Coach Skylar
Instructor's name is not listed above
Date of Belt Test
*
January 2025
March 2025
May 2025
August 2025
October 2025
Current belt rank
*
Yellow
Green
Purple
Blue
Brown
Brown with Black Stripe
Red
Testing for the following belt rank (must test for the next belt rank in order - no skipping belt ranks)
*
Green
Purple
Blue
Brown
Brown with Black Stripe
Red
Red with Black Stripe
Class location (eg. East Silver Spring ES, Cleveland Park Club, etc)
*
What color stripes do you currently have on your belt?
*
blue (positive attitude)
yellow (technique)
green (sparring)
red (master form)
white (teaching - testing for brown and above only)
yellow (JuJitsu - testing for brown and above only)
orange (summer camp)
purple (fitness / flexibility - not mandatory - optional)
light blue (assisted as a sparring partner on 10 black belt exams or more)
What was the date of your last promotion? Please be as accurate as possible. Check your last certificate of rank for the date if needed.
*
-
Month
-
Day
Year
Date
Patches - do you have all the correct patches on your gi top?
*
Yes
No
Video tests will not be accepted IF the student does not have the appropriate patches sewn onto their gi and placed correctly on the uniform. NO EXCEPTIONS. See here for details -
www.kaizenfitnessusa.com/patches
. Patches must be visible on video test that you are submitting.
Please cut and paste your YouTube link below. MUST INCLUDE SPARRING VIDEOS. The video must be marked as "unlisted" otherwise we are unable to view the video. This will result in delays in receiving testing results. Also, once you are "approved" to test, the actual test will be *in-person* and held on the weekend as a group test. See the KK website for the most updated testing dates. Lastly, no editing videos. Students are expected to record themselves on the first take and submit the first take - no redos.
*
POLICIES
Instructors are NOT responsible for filming students during class time and / or submitting videos on the students behalf. It is the responsibility of the parent to film and submit videos for grading.
I understand that my child is expected to film their test on their 1st attempt. Students should film their video on their first try as if they were being graded live and in-person.
Students should be visible from head to toe during the entire video. If a student is out of frame, the video will be sent back and the student will be asked to re-film their test.
I understand that videos are due 1 month prior to the actual testing date. If videos are submitted after the deadline (see website for deadlines), then the student must wait until the next testing cycle. NO EXCEPTIONS. We hold tests every two months so the wait is relatively brief.
I understand that if the videos are "incomplete" that my test will automatically be pushed back to the next testing date. Eg. If a student sends in technique and kata videos and does not send in sparring videos, they will automatically be pushed back to the next testing cycle.
I understand that if my child does not pass the video test (or receives directions to film the videos again), then we must automatically wait for the next testing cycle. This will allow time to fix the mistakes in the test.
I understand that if my child needs to submit videos again, they must work directly with either Coach V or Coach David to fix all issues in the test (
not
with their primary instructor).
I understand the ultimate goal is to get to black belt. In order to do so, we need to make sure that each student's skill matches their belt and their belt matches their skill. Moving up in belt rank is not a race. It is important to take time at each rank to properly learn all material.
I understand that all video tests must be submitted on this form. At no time should students submit video tests directly to their instructor. Instructors are also aware that students should at no time submit videos to them for "review" prior to the actual video test submission. Any violation of this policy must be reported directly to Kaizen Karate's Head Instructor, Coach V.
I agree to all policies listed above in the policies section.
*
I agree
I disagree. I also understand this means that my video test will not be graded and I should not finish completing this form.
Select the belt rank you are testing for below (only choose 1)
*
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( X )
Green Belt Test
$
50.00
Purple Belt Test
$
50.00
Blue Belt Test
$
65.00
Brown Belt Test
$
80.00
Brown Belt with Black Stripe Test
$
80.00
Red Belt Test
$
80.00
Red Belt with Black Stripe Test
$
80.00
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