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First Name: Last Name:
Date of Birth: Current Belt or Rank:
Address Street: Apt #:
City: State: Zip Code:
Telephone (incl. area code): E-Mail Address:
Contact Phone or Email:
In Group Test - Saturday June 7th, 2025 at Manna's Martial Arts School Register on or before June 5th: $40 Register after June. 5th: $60 (incl. late fee)
Semi Private Test - Wednesday, June 11th - 5:30 PM at Manna's Martial Arts School Register on or before June 10th: $60 Register after June 10th: $80 (incl. late fee)
By clicking on the “submit” button on this form, I submit this application for promotion in Manna’s Martial Arts and accept any grade or belt rank rendered by this system with complete satisfaction, neither contesting nor demanding a higher grade or belt rank.
Participant Parent/Guardian of applicant as named above Date:
Please fill in ALL required fields indicated with a red star (), above date format mm/dd/yyyy.