Student Information

Student Information

Student Full Name (required)

Your Email (required)



Club Location (required)

AirdrieCalgary NECalgary NW

Doboks: $75

Please select a size
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Sparring Gear: $150 (Complete Set)

Colour:

Head Gear ($40 Sold Separately):

Hand Gear ($40 Sold Separately):

Foot Gear ($40 Sold Separately):

Mouth Guard (Mandatory. $30 Sold Separately):

Candidate Name (required)

Email (required)

Candidate Age (required)

Date of last exam (if applicable)

Date of upcoming exam (required)

This is a retest
Yes

Current rank of candidate

Examining for what rank

Belt size (choose one size larger than dobok size)
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PAYMENT DETAILS: Exam fees are payable only by Electronic Funds Transfer. By submitting this form you are agreeing to a pre-authorized debit payment of $40 from your bank account on file with DMA. This payment will be withdrawn from your account within the next 3 business days. NOTE: Black Belt test prices vary by DAN; please discuss the payment and procedure with Master Johnson.

*** WE CAN NO LONGER CONDUCT ANY BELT TESTS DURING CLASSES FOR ANY REASON. IF YOU/YOUR CHILD MISS YOUR SCHEDULED TESTING DATE, YOU WILL HAVE TO WAIT UNTIL THE NEXT SCHEDULED EXAM. ***

Yes, I understand.