Instructor Testing Application


Letterhead - Color

Location: 

 

TESTING MEMBER’S INFORMATION:

Member’s First Name:  Member’s Last Name:

Date of Birth:

Gender:   

Height:  Feet  Inches    Weight:  Pounds

TESTING DETAILS:

Group:   

Next 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.

Leave this empty:

Dragon Yong-in Martial Arts https://dragonyong-in.com
Signature Certificate
Document name: Instructor Testing Application
Unique Document ID: 411ca8014b048a9fc7488b86d0654c78d656f392
Timestamp Audit
2016-07-06 19:42:00 EDTInstructor Testing Application Uploaded by DYMA Sales - sales.dyma@gmail.com IP 108.44.189.251