Adult Colour Belts Grading Form

Adult Colour Belts Online Grading Form

Grading Date:

Full Name (required)

Your Email (required)

Belt Size: 34567Not sure

Grading Details: White to YellowYellow to Blue TipBluet Tip to BlueBlue to Red TipRed Tip to RedRed to Black TipBlack Tip to Provisional Black BeltProvisional Black Belt to Black Belt

Do you practice at home? YesNo

If you practice at home, how long? 30 minutes1 hourMore than one hour

Please list areas that you have improved since you started in our program:
Attention to detailsBallanceCo-ordinationFocusFriendshipFlexibilityFitnessHealthy HabitListeningMobilitySelf AwarenessSelf ControlSelf DisciplineSocial SkillsSelf DefenceMore

Please write areas you would like to make improvements on:

Please list 3 actions you need to take to create improvements on these areas:

Special Requests:
Please send me the information about Private Lessons.I would like to have a meeting in regards to my training goals.

Additional message (optional)

Would you like to learn to be an instructor?
YesNoMaybe

After you click "SUBMIT" you will be redirected to the payment page to pay the grading fee. Please pay as soon as you submit this form because we have to order the new belt and certificate from KMA HQ in Sydney ASAP. Thank you.