Belt Test Form

PLEASE NOTE: As of September 1st, 2022 there has been an increase in test fees to $60.00


BELT TEST APPLICATION

  • Students in grades K-12 must have parent's and teacher's acknowledgement of Tenets of Taekwondo
First Name
Last Name
Generational

Please enter your email address for test form confirmation:

Please enter Parent's email for test form confirmation:

Select the belt you will be testing for. This is NOT your current belt rank.

TENETS OF TAEKWONDO

Taekwondo aims to achieve:
Courtesy, Integrity, Perseverance, Self-Control, and Indomitable Sprit!

As students of Boltz's Family Martial Arts Academy, we strive to live by the tenets of Taekwondo; our code of conduct. We believe it is important to receive feedback about our student's efforts. An evaluation must be completed by our student's parent/guardian and a school teacher. We ask that you consider the student requesting this evaluation and determine if you believe the student "HAS" or "HAS NOT" attempted to improve and develop in the areas of Courtesy, Integrity, Perseverance, Self-Control, and having an Indomitable Sprit. We thank you for your assistance and value any extra comments you would like to include in the comments section below. Please do not hold forms as awaiting improvements. Please choose "HAS" or "HAS NOT" as it applies to the student today.

Acknowledge above named student "HAS' or "HAS NOT" lived by the above mentioned Tenets of Taekwondo
Teacher Info

Teacher should be a K-12 school teacher, NOT your martial arts instructor. For students with more than one teacher you can chose any teacher you want.

Teacher information is NOT required for August testing.

First
Last
An e-mail will be sent to the student's teacher requesting whether the student has lived by the tenets of Taekwondo.
I authorize The Gym, Boltz's Family Martial Arts Academy to charge the test fee to my credit card or bank account on file. A 3.75% processing fee is charged on all credit card transactions. The Gym: Boltz’s Family Martial Arts accepts check or cash payments with no processing fees.

Alternate Test Date Request

Click 'Yes' if you are requesting an alternate test date. Please be aware that there is an additional cost of $50 for any alternate test date scheduled.
Parent/Guardian comments
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