Colour Belt Grading Application - Xtreme Martial Arts Academy

Gup Grading Application

National Colour Belt Grading

Applicants First Name

Last Name

Age

Mobile

Address

Parent's Name

Grading Date

Grade Applied For

Grading Fee (Amount as selected from the left or $115 for a Family)

Terms & Conditions

I agree to the terms below:

The grading fee should be paid by internet banking into our normal account.

I understand that the examiner shall be the only person who is qualified to promote or fail the applicant on the basis of my technique, knowledge of the art, and attitude.

I understand the grading fee does not guarantee my promotion. The grading fee will be paid prior to the grading date and my training fees are also up to date. I have read and accept the above conditions.

Having trouble submitting this form? Try clearing your Browser Cookies and try again. Failing that, please just email us a screenshot of the form and the attachments. Thanks.

XTREME MARTIAL ARTS ACADEMY

Gup Grading Application