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A test checklist for a student advancing to the green dragon belt level in ernie reyes' west coast world martial arts. It includes forms, conditioning exercises, sparring techniques, ethics approval, and life skill questions.
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FORMS/BASICS: (Stripe-4)
ES: (Stripe-3)
PAD WORK: (Stripe-1)
Grade Comments
SPARRING TECHNIQUES: (Stripe-2)
KICKING TECHNIQUES: (Stripe-3)
REQUIREMENT CHECKLIST FILLED OUT BY STUDENT
Name Age
Date of The Exam
School Location Belt Size
Instructor's Approval Received All Stripes Has School Patch Has proper safety equipment for test $20 Testing Fee Received $15 Late Fee received (after Due Date)
Judged By:
Home telephone number
(E) = Excellent (+) = Passing (P) = Possibility ( RT) = Retest
Ernie Reyes' West Coast World Martial Arts Association
Rev. 1/22/
MARTIAL ARTS ETHICS
FILLED OUT BY STUDENT OR PARENT
STUDENT APPROVAL CHECKLIST (18 & UNDER)
I do hereby affirm and say, that I apply for the rank of GREEN DRAGON BELT. That Ernie Reyes' West Coast World Martial Arts is not responsible for any accident which may occur during this test. I accept the results given me.
Signature (parent if under18)
Comments:_________________________________________________________________________________
Parent's Signature Teacher's Signature
Dear Students, Parents, and Teachers,
Our main objective at West Coast World Martial Arts is to develop Black Belts, not only in martial arts, but in life as well. This means striving for their best in everything they do in life. The following approval enables us to work with our students in attaining these goals. Please follow these school policies carefully:
If the student does not meet all of the above qualifications, we can hold the student's ranking until there has been satisfactory improvement.
Yes No Yes No Yes No Yes No Yes No
Yes No
Yes No
LIFE SKILL QUESTIONS