Graduation Application
Age 7 and Above
Submit
Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date Picker Icon
Current Rank
White
Yellow
Orange
Green
Blue
High Blue
Purple
High Purple
Brown
High Brown
Red
Belt Size
Student: What is your favorite area of JinMudo and why?
Student: What is your Short Term Goal?
Student: What is your Long Term Goal?
Student: How has JinMudo helped you in life?
Parent: Please list area(s) your child has improved on since starting our program:
Parent: Please list area(s) that your child needs to improve on:
Parent: Any other comment:
Parent/Guardian Electronic Signature
Should be Empty: