SHOTOKAN KARATE RYU

GRADING APPLICATION FORM

WHERE
Mountfitchet Romeera Leisure Centre,
Forest Hall Road
Stansted,
CM24 8TZ
WHEN
Sunday 8th June 2014
Tiger Tots 11am (registration from 10.45am)
Juniors (all grades) 12 noon (registration from 11.30am)
Adults (all grades) 12 noon (registration from 11.30am)
GRADING FEES GRADING FEES GRADING FEES GRADING FEES GRADING FEES GRADING FEES
KYU Description TT J A Fee
10th Kyu Sho White Belt with Blue Stripe ! 10.00
10th Kyu Blue Belt ! ! ! 12.00
9th Kyu Sho White Belt with Red Stripe ! 13.00
9th Kyu Red Belt ! ! ! 14.00
8th Kyu Sho White Belt with Orange Stripe ! 15.00
8th Kyu Orange Belt ! ! 16.00
7th Kyu Sho White Belt with Yellow Stripe ! 17.00
7th Kyu Yellow Belt ! ! 18.00
6th Kyu Sho White Belt with Green Stripe ! 19.00
6th Kyu Green Belt ! ! 20.00
5th Kyu Sho White Belt with Purple Stripe ! 21.00
5th Kyu Purple Belt ! ! 22.00
4th Kyu Sho Purple Belt with 1 Tag ! 23.00
4th Kyu Purple Belt with White Stripe ! ! 24.00
3rd Kyu Sho White Belt with Brown Stripe ! 25.00
3rd Kyu Brown Belt ! ! 26.00
2nd Kyu Sho Brown Belt with 1 Tag ! ! 27.00
2nd Kyu Brown Belt with 1 Stripe ! ! 28.00
1st Kyu Sho Brown Belt with 2 Tags ! ! 29.00
1st Kyu Brown Belt with 2 Stripes ! ! 30.00
Grading Application = Training Fee + Grading Fee
TRAINING FEES TRAINING FEES
Adult (A) 5.00
Junior (J) 4.00
Tiger Tot (TT) 4.00
Requirements for Grading:
!Permission from your
Club Instructor (Sensei).
Only students who have been
training on a regular basis will be
allowed to grade
!A valid EKO Licence.
This will be checked on
application.
Deadline for completed
applications:
Sunday 1st
June 2014
Main Applicant Name: Contact Number: Main Applicant Name: Contact Number: Main Applicant Name: Contact Number: Main Applicant Name: Contact Number:
Grade Attempting Training Fee Grading Fee Total
_______Kyu / Kyu Sho 4 / 5
Other Family Members grading (if applicable): Other Family Members grading (if applicable): Other Family Members grading (if applicable): Other Family Members grading (if applicable): Other Family Members grading (if applicable):
Name Grade Attempting Training Fee Grading Fee Total
_______Kyu / Kyu Sho 4 / 5
_______Kyu / Kyu Sho 4 / 5
_______Kyu / Kyu Sho 4 / 5
_______Kyu / Kyu Sho 4 / 5
Cheques should be made payable to SKR Cheques should be made payable to SKR Cheques should be made payable to SKR
Total Enclosed:
please cut along dotted line and retain upper portion
Signature of Main Applicant: Date:
(Parent or Guardian if under 16 years)