Rank Testing Request
Step
1
of
4
25%
Name
(Required)
First
Last
Date of Arrival
(Required)
MM slash DD slash YYYY
Date you will arrive at the event
Departure Date
(Required)
MM slash DD slash YYYY
Date you will leave the event
Age
(Required)
Height
(Required)
Weight
(Required)
Lbs
What is your current rank?
(Required)
White
Blue
Purple
Brown
Black
Current Degrees on your Belt
(Required)
01
02
03
04
05
How long have you had your current rank?
(Required)
Belt Size
(Required)
A0
A1
A2
A3
A4
A5
School Name
(Required)
Where do you train?
Coach or Professor Name
(Required)
First
Last
Coach or Professor Rank
(Required)
White
Blue
Purple
Brown
Black
Coach or Professor Degree
(Required)
01
02
03
04
05
Coach or Professor Phone
Coach or Professor Email
(Required)
Address
(Required)
City
State / Province / Region
Does your coach know you're testing?
(Required)
No
Yes
Will your coach be present?
(Required)
No
Yes
Do you understand that registering for rank testing does not guarantee a promotion
(Required)
Yes, I understand that registering for rank testing does not guarantee a promotion
Instructor Access Request
Academy Name
(Required)
Academy Owner First Name
(Required)
Academy Owner Last Name
(Required)
Instructors
(Required)
First Name
Last Name
Email
Add
Remove
Phone
This field is for validation purposes and should be left unchanged.
