WORLD DRAGON KENPO SCHOOLS
Promotion Request Form
Log in to www.DragonKenpo.org to check your status.
Students exams are held quarterly, see instructor to determine if you qualify for
testing, either in person or via video for distance learners.
PLEASE FILL OUT FORM COMPLETELY INCLUDE BELT SIZE
Form should be turned in at least TWO WEEKS before Exams.
Exam Fee $25 Pd.______Pd. Online______at DragonKenpo.US
Student Name:__________________________Date:___/___/___
Rank of Test:____________________________Belt Size_______
Martial Arts/Self Defense Training is important to me because...
______________________________________________________
______________________________________________________
______________________________________________________
My Goals in the martial arts are...
______________________________________________________
______________________________________________________
______________________________________________________
Length of time training___mos.____yrs.
Use back if you need more space.
Group Lessons____Private Lessons____Online Learning (WDK)____
--------------------------------For Office Use---------------------------------
Junior Student Report Card_____
Junior Student Assist at Home_____
Patterns________________________________________________
Self Defense____________________________________________
Examiner Int._____
Comments______________________________________________
_______________________________________________________
"The Ultimate aim of Karate is not Victory nor Defeat but in the Perfection Of the
Character of it’s Participants." Gichin Funakoshi