Candidate/Black Belt Testing Application


 The purpose of the Testing Application is so YOU are clear on your requirements and have a clear understanding of your testing.


 


As you go through and check off requirements you are certifying that you are prepared with that material and have no further questions about it. IF YOU ARE UNCERTAIN it is your responsibility to contact the appropriate office staff/instructor so you are clear.


INFO:   Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.



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Registrant Fee: $0.00


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Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*UNIONSUNITEDTAEKWOND 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.
 


Please click the button below to finalize your registration.



Registration inquiries:
UNION UTA Martial Arts
2020 Morris Ave
Union, NJ 07083
908-687-5559
www.unionuta.com
contact@youremailaddress.com
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Essay (Candidates only)
Fitness Challenge (Candidate only)
Board Order form
Gear orders (Candidate order form or 1st degree belt order)
Basics for the cycle
Footwork for the Cycle
Fighting Combos
Self Defense Concepts
Prepared for Random Self defense
Weapons drills and/or Forms
Combative Material (Does not apply to Jr's)
Prepared for breaking