Click Here to Return to World Dragon Kenpo
 

Print this page or copy and paste to your word processor and print. 





WORLD DRAGON KENPO

World Dragon Kenpo Schools Promotion Request Form

Log in to www.DragonKenpo.US 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 $20 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
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