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MASTER METHOD ACADEMY

Karate • Fitness • Success

Believe It, Achieve  It! 

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April 2024

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Gymnasium, Inter-Denominational Church

Black Belt Promotion Registration

Online Registration- BLACK BELTS ONLY: (*Half brown/Half Black promoting to Black, Black Belts w/stripes, DANs w/tips, as well as 1st DAN and higher use this registration form.)

Black Belt Promotion Registration
Black Belt Promotion Registration

Time & Location

April 2024

Gymnasium, Inter-Denominational Church, 19201 Woodfield Rd, Gaithersburg, MD 20879, USA

Guests

About the Event

Promotion will consist of performing required black belt techniques, ranking promotions, and presentations.

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Permission/Waiver

By submitting this form electronically, I certify that the information submitted is correct, and I give my permission for the named student (if under 18 years of age) to participate in the scheduled promotion.  I understand and agree that this promotion involves physical acivity, drills and exercises, and I certify that the student participating is physically able to participate and does not have any medical issues that would inhibit participation.  I further understand and agree that Uchudo International, The Master Method Academy, or any staff members will not be held liable for any injuries, damages, etc. that occur in association with this activity, and the student or parent/guardian of minor student understands and assumes risk of injury by participating in this physical activity in person or virtually online.  

By submitting this form electronically, I also understand that photographs & video may be taken at this public event, and I grant The Master Method Academy permission to use and publish photographs or video images of the student, or those in which may be include the student, for purposes including but not limited to: promotional materials,

website, social media, printed publications, and advertising use. I further understand that there will be no compensation for this use and that finished products or advertising copy or the printed matter may be published without my prior review. In granting this permission to Master Method Academy and its legal representatives, I am fully and without limitation releasing Master Method Academy from any liability that may arise from the use of the images.

Tickets

  • Intermediate DAN tips

    Intermediate DAN tips This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.

    $55.00
  • 1st to 2nd DAN

    1st to 2nd DAN This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.

    $425.00
  • Black to 1st DAN

    BLACK TO 1ST DAN This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.

    $400.00
  • Black w/stripes green/blue/red

    BLACK W/ STRIPES (GREEN / BLUE / RED) This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.

    $55.00
  • Half Brown/Half Black to Black

    HALF BROWN/HALF BLACK PROMOTING TO BLACK This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.

    $250.00
  • 2nd to 3rd DAN

    2nd to 3rd DAN This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.

    $450.00
  • 3rd to 4th DAN - JUNIOR MASTER

    3RD TO 4TH DAN - Junior Master's Ranking This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.

    $600.00
  • 4th to 5th DAN - MASTER'S RANK

    4th to 5th DAN - MASTER'S RANKING This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.

    $700.00

Total

$0.00

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