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10451 Twin Rivers Rd, Columbia, MD 21044
10451 Twin Rivers Rd, Columbia, MD 21044
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Belt Test 06/10/2022
Belt Test
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Belt Test Application
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Student Name
*
First
Last
Students Date of Birth?
Who is Filling out this Form, Name and Relationship to Student?
*
Email
*
Email
Confirm Email
When will he/she be belt belting, Test Date?
What Color Belt Testing For?
*
Choose What Color Belt?
No belt To White Belt - $ 80.00
White Belt To Advanced White - $ 90.00
Advanced White to Yellow - $ 100.00
Yellow to Orange - $ 110.00
Orange to Advanced Orange - $ 120.00
Advanced Orange To Green - $ 130.00
Green To Blue - $ 140.00
Blue To Purple - $ 150.00
Purple To Advanced Purple - $ 160.00
Advanced Purple to Brown - $ 180.00
Brown To Red - $ 200.00
Red To (Dan/Bo Red/Black) - $ 250.00
Test Fee
*
Invoice me
Invoice me for next month
I need Payments arrangement
I Paid
I am paying now using PayPal
Give your child 2-3 improvements that he or she can accomplish before next belt test.
Example: clean room, help around the house, Respect adults, make their bed or ...
Below Chart is optional; filling out this chart will help us to support you in improving your child.
Courtesy, Respect to others
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Self Control- Controlling Mind & Body
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Perseverance- Working Hard and not giving up
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Listening and following direction?
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Help around the house and chores
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Homework and School work
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Taking responsibility for actions
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Treating brother/sister?
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Appropriateness language
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Thinking and analyzing before Action
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Helping Others
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Over all Behavior
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(5 Starts Excellent) (4 Stars Satisfactory) ( 3 Stars Average) (2 Stars needs Improvement) ( 1 Star Not Passing, Needs to wait till next belt test
Note to Staff (Please let us know if you have any concerns or questions)
Message
Submit Your Test Application
Home
Home
Contact Us
Instructors & Staff
Covid
Waiver Form
Monthly News
Before & After School Program
Day Camp
Martial Arts Classes
Martial Arts Classes
Private Classes
Summer Camp
Students Info
Belt Test 06/10/2022
Belt Test
Curriculum
How to Tie Your Belt
Black Belt Attitude
Birthday Party
Pay Tuition
Brother School