Color Belt Testing Application


Letterhead - Color

Location:   

First Member’s Testing Information:

First Name: Last Name:  DOB:   
Gender: Rank & Fee:

Second Member’s Testing Information – If Applicable:

First Name:  Last Name: DOB: 
Gender: Group: Rank & Fee:

Third Member’s Testing Information – If Applicable:

First Name: Last Name:  DOB:   
Gender:  Group:  Rank & Fee: 

 Terms:

  • Testing is ONLY for current members of Dragon Yong-in Martial Arts.
  • There are no refunds for any testing fees.
By signing below, I agree to the above stated terms and agree pay the amount selected above and waive my right to a refund.

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Dragon Yong-in Martial Arts https://dragonyong-in.com
Signature Certificate
Document name: Color Belt Testing Application
Unique Document ID: 1143bd6f6f06beabe5445571d5517f462d9dbd68
Timestamp Audit
2016-07-06 17:58:18 EDTColor Belt Testing Application Uploaded by DYMA Sales - sales.dyma@gmail.com IP 71.207.145.17