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Black Belt Intent to Promote
Black Belt & Black Belt Candidates Intent to Promote form must be completed.
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* Indicates required question
Email
*
Your email
Student Name (As you want it to appear on the black belt)
*
Your answer
What size uniform (Black Top) do you need? (Check your pant size & decide if you need a bigger size). Required for Senior Red Belt Candidates promoting to Black Belt.
*
I already have my black belt uniform (black jacket)
Jacket Size 1
Jacket Size 2
Jacket Size 3
Jacket Size 4
Jacket Size 5
Jacket Size 6
Jacket Size 7
Jacket Size 8
What rank are you testing for?
*
Choose
1st Degree Level 1 (One Bar One Chevron)
1st Degree Level 2 (One Bar Two Chevrons)
1st Degree Level 3 (One Bar Three Chevrons)
1st Degree Level 4 (One Bar Four Chevrons)
1st Degree Level 5 (One Bar Five Chevrons)
2nd Degree Level 1 (Two Bars One Chevron)
2nd Degree Level 2 (Two Bars Two Chevrons)
2nd Degree Level 3 (Two Bars Three Chevrons)
2nd Degree Level 4 (Two Bars Four Chevrons)
3rd Degree Level 1 (Three Bars 1 Chevron)
3rd Degree Level 2 (Three Bars Two Chevrons)
3rd Degree Level 3 (Three Bars Three Chevrons)
4th Degree Level 1 (4 Bars 1 Chevron)
Please select belt size (in inches)
*
91" (Size 2)
99.5" (Size 3)
106.5" (Size 4)
116.5" (Size 5)
125.5" (Size 6)
132.5" (Size 7)
146" (Size 8)
Option 8
I agree my name appears as I want it on my belt & spelled properly, and the size requested is accurate.
*
I agree
A copy of your responses will be emailed to the address you provided.
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