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...

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My Goals in the martial arts are...

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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______________________________________________

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"The Ultimate aim of Karate is not Victory nor Defeat but in the Perfection Of the

Character of itís Participants." Gichin Funakoshi