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570 N. Alafaya Trail 120, Orlando, FL 32828

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1st Black Belt Testing

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Belleview, Florida

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March 10, 2018

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3 Schools

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9:00 A.M.

A Great Day for Martial Arts.

Bring as many family members as possible to take part in your special day.

Arrive at 8:30 a.m.
SE 10691 US-441, Belleview, FL 34420

Presented by: THE HOUSE OF MARTIAL ARTS

Black Belt Testing Registration Form

Complete all the fields in this form.
Full Name*
Email*
Age*
School Name*
Name of your Master/Instructor*
Current Rank*
Belt Size*
Testing for*
Transfer belt*
What is your reasoning for continuing your knowledge and journey in the martial arts?*
What is the value most gained up to this point?*
Which of the 6 pillars do you still need to work on?
- Have optimal nutrition behavior.
- Effective physical endeavors.
- Adequate recharge time.
- A diligent mindset that promotes positive feelings.
- A daily evaluation of our emotional levels.
- A behavior of forgiveness and an ability to move on.
Which of the 6 pillars have you done better?
- Have optimal nutrition behavior.
- Effective physical endeavors.
- Adequate recharge time.
- A diligent mindset that promotes positive feelings.
- A daily evaluation of our emotional levels.
- A behavior of forgiveness and an ability to move on.
Upload your Passport type photo here (JPEG)*
Agreement*
- I agree with and accept the Term of Services.
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Miss T Martial Arts After School Program

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570 N. Alafaya Trail 120, Orlando, FL 32828

Phone: (407) 801-4820

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