TESTING REGISTRATION
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Belt Rank
*
Please Select
White
White w/black stripe
Orange
Orange w/black stripe
Yellow
Yellow w/black stripe
Camo
Camo w/black stripe
Green
Green w/black stripe
Purple
Purple w/black stripe
Blue
Blue w/black stripe
Brown
Brown w/black stripe
Red
Red w/black stripe
Black Belt Rec.
Black Belt Rec. w/black stripe
1st Degree Black Belt
2nd Degree Black Belt
3rd Degree Black Belt
Payment Option
*
Please Select
Cash
Venmo
Credit Card
If you selected Venmo please leave your Venmo @ here
Select what you will be doing for testing (BLACK BELTS ONLY)
Forms, Weapons and Sparring
Forms, Board Breaking and Sparring
Forms, Weapons and Board Breaking
Testing Location
*
Please Select
Cadillac
Manistee
Suttons Bay
Submit
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