Congratulations!
 
You have earned the opportunity to demonstrate your skills to the Black Belt Panel and move up to the next belt level. 

December 8, 2019 12:00pm - 5:00pm
December 7, 2019 12:00pm [Central Time]
Baker Demonstration School
201 Sheridan Road
Wilmette, Illinois 60091
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Registration inquiries:
Grandmaster Connelly: info@connellysacademy.com
Ms. Mason: amason@connellysacademy.com
847-568-0912
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Beginning students (White Belts demonstrating for 1 Yellow Stripe Belts) will be first, starting at approximately 12:00 noon.  There may be several groups of each rank.

Higher Ranks (currently 1 Yellow Stripe through Black Stripe Belts), will demonstrate in belt order.  Please visit our website the day before coming to this event, www.connellysacademy.com, for a more detailed estimate of start times.





The Main Test, Sunday, December 8th, will begin at 12 noon.
It will be held at the Baker Demonstration School, 201 Sheridan Road, Wilmette, IL 60091
 
The Make Up Tests will be held at the Levy Center, 300 Dodge Avenue, Evanston, IL 60202
 
Both tests (Monday 12/9 and Wednesday 12/11) will begin at 7:00 pm.  Please arrive a few minutes before 7:00 pm to pick up your form and be ready to start promptly.


Please select a testing date.


PROMOTION FEES


The fee structure is based on three belt levels, Beginning, Intermediate and Advanced.

The Beginning Level would include students promoting to 1 Yellow Stripe, 2 Yellow Stripes, Yellow Belt and Green Stripe.  Students who are currently White Belts are in this level.  The fee is $35.

The Intermediate Level would include students promoting to Green Belt, Blue Stripe and Blue Belt.  The fee is $40.

The Advanced Level would in clued students promoting to Red Stripe, Red Belt, Black Stripe and Black Belt Candidate.  The fee is $45.




If you train at more than one program location, please check all that apply.


Avoca West Elementary
Baker Demonstration School
Bessie Rhodes Magnet School
Chon-ji Dojang
Dawes Elementary
Dewey Elementary
East Bank Club
Edison School - Chicago
Highland School - Skokie
Kilmer Elementary - Chicago
King Arts Magnet School
Kingsley Elementary
Levy Center - Evanston Recreation
Lifetime Fitness
Lincoln Elementary
Lincolnwood Elementary
Martial Arts Summer Camp
McGaw YMCA
Meyer Pre-K and K - Skokie
Morton Grove Park District
Nichols Middle School
Northfield Park District
Oakton Elementary
Orrington Elementary
Ravenswood Elementary - Chicago
Rogers Park Montessori - Chicago
Stenson School - Skokie
Walker Elementary
Washington Elementary
Willard Elementary
Other Location


Who is your Instructor or Program Leader?  Check all that apply.


Grandmaster Joseph Connelly
Master Michael Eisenstein
Mr. Vincent Finneran
Master Sterling Goodrich
Mr. Joshua Harbert
Mr. Martin Horn
Ms. Emily Kuhn
Mr. Brooke Lester
Mr. Daniel Lilienfeld
Ms. Ellen Lonnquist
Ms. Anne Mason
Mr. Corey Mercer
Master Timothy Rodine
Dr. George Tsatsos
Mr. Manel Valdes-Cruz
Mr. Gary Vernon
Not Listed


Youth students are required to have a recommendation from the instructor.  


TERMS AND CONDITIONS


"As a participant (or as a the parent/guardian of the participant under the age of 18) in the Connelly’s Academy, Inc. promotion testing, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages or loss that I (or my child) may sustain as a result of participating in any and all activities connected with or associated with the test. I agree to waive and relinquish all claims I may have as a result of my ( or my child's ) participating in the event against its officers, agents, servants, employees and sponsors. Photographs and videos of me or my child as a Connelly's Academy student may be used in public relations program media and prepared materials and advertisements. I have read and fully understand the above promotion testing details and participation agreement."
Check this box to indicate that you have read and agree to all of the above terms & conditions


If you registering a child as his/her parent or a guardian, please enter your name.




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