UNITED TANG SOO DO FEDERATION

PROMOTION EXAMINATION

1840 Blanding Boulevard, Jacksonville, Florida 32210 (904) 384-1111

 

Name _____________________________________________ Date of Birth ________________

                                                                                                                           (Month)       (Day)   (Year)

 

Address _______________________________________________________________________

 

Student Number ____________ Occupation __________________________________________

 

Present Grade _____________________ Desired Grade _____________________ Belt Size ____

 

Branch ________________________ Recommended By (Instructor) _______________________

 

If at any time, I, ________________________________________, violate any of the following three (3) rules and regulations governing the United Tang Soo Do Federation, I hereby agree that the United Tang Soo Do Federation reserves the right to suspend my rank or status.

1.        The purpose of Tang Soo Do is to improve both mental and physical health, and all members must uphold and protect the honor and prestige of Tang Soo Do.

2.        Members are forbidden to use Tang Soo Do techniques to provoke and challenge innocent persons and use will make offending members subject to disciplinary action.

3.        That the United Tang Soo Do Federation is the sole and only judge of my qualifications and achievement in this Korean Martial Art.

 

* I agree that the promotion examination fee which has been paid is not refundable under any circumstances and also that I will accept any grade or belt rendered by this Federation with complete satisfaction, neither demanding nor protesting for a higher grade or belt.

 

Date ______________ Applicant’s Signature _________________________________________________________

 

Parent or Guardian Signature

If applicant is under 18 ___________________________________________________________________________

 

Do Not Write In Space Below

Poomsay (Hyung)

Points

Gyoo roo gee (Dai Ryun)

Points

Kyuk Pa

Points

General

Points

 

 

 

Eel Soo Seek

 

Cha Kee

 

Power

 

 

 

 

Ja Yoo

 

Soo Kee

 

Balance

 

 

 

 

Multiple

 

Special

 

Knowledge

 

 

Total Points ______________________________ Average Points ________________________________________

 

Grade to be Awarded ____________________________________________________________________________

 

Signature of Examiner _______________________________________ Approved By _________________________