Testing Information Paper

Pocatello  -- Sept. 22- testing, Sept. 25- belt ceremony

 Idaho Falls  -- Sept 23 - testing, Sept 24- belt ceremony

Student Name:                                                                       

Current Rank:                                                                             

New Rank:                                                                             

Belt Rank Order:  white, orange, yellow, camo, green, purple, blue, brown, red, red/blk,BLK                                   

Little Dragon Belt Size:                   

Child SM (uniform size 000, 00) 

Child LG (uniform size 0, 1, 2)                                                     

Adult & Junior Belt Size: (same as their uniform size, circle one)    

0        1           2           3           4           5           6          7         8

Blk Blt Midterm # 1      2      3      4      5      6      7      8      9   (Circle one) 10    11    12    13    14    15    16    17    18

Program: (Circle one)     Basic       BBT        MT         LP  

Cost:  $35 each student    

Family Rates:  $10 for each additional familymember (3^rd, 4^th, etc)

 Testing fees due: Sept. 8^th for  Poc & Sept 9^th for IF, if fees received after due date $10 late fee will be assessed          

Use Credit or Debit Card on file?                           

Early/Late Testing Fee: $35 single student, $50 family

Date to Test:                                 Amount Due:                       

Testing Information Paper
Pocatello  -- Sept. 22- testing, Sept. 25- belt ceremony