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Belt Grade Form:
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* Indicates required question
Name of Student
*
Your answer
Phone number
*
Your answer
Belt Grade Name
*
Choose
YELLOW BELT 7TH KYU
ORANGE BELT 6TH KYU
GREEN BELT 5TH KYU
BLUE BELT 4TH KYU
BROWN BELT 3RD KYU
BROWN BELT 2ND KYU
BROWN BELT 1ST KYU
BLACK BELT 1ST DAN
Date of Grade/Test
*
MM
/
DD
/
YYYY
Coach Name
*
Your answer
Terms & Condition as per World Contact Karate-Do federation rules apply, sign not required due to online form.
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