Black Belt Promotions Registration - OCTOBER 2024
October 12, 2024
|See description for location
Online Registration- BLACK BELTS ONLY: (*Half brown/Half Black promoting to Jr. Black, Jr. Black Belts w/stripes, DANs w/tips, as well as 1st DAN and higher use this registration form.)
Time & Location
October 12, 2024
See description for location
Guests
About the Event
BLACK BELT DAN PROMOTIONS (Landmark Degrees Only)
DATE: Â Â Â Saturday October 12
TIMES: Â 5:00pm - Half Brown/Half Black promotiing to JUNIOR BLACK BELT
                 6:30pm - Black Belts promoting to 1st DAN & UP
LOCATION:
Master Method Karate Rockville
5538 Randolph Rd
Rockville 20852
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BLACK BELT STRIPE & TIP PROMOTIONS (Non-Landmark Degrees/Stripes & Tips Only)
DATE: Â Â Â Â Saturday October 19
TIMES: Â TBA
LOCATION:
Inter-Denominational Church - Gymnasium
19201 Woodfield Road
Gaithersburg 20879
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Promotion will consist of performing required black belt techniques, ranking promotions, and black belt 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. Â 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. Â 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. Â
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
Junior Black to 1st DAN
JR. BLACK TO 1ST DAN This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.
$400.001st 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.
$425.00Jr. Black w/ green/blue/red
JR. BLACK W/ STRIPES (GREEN / BLUE / RED) This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.
$50.002nd 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.
$450.00Half Brown/Black to Jr. Black
HALF BROWN/HALF BLACK PROMOTING TO JUNIOR BLACK This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.
$250.00Intermediate DAN tips
Intermediate DAN tips This document certifies you have registered for your upcoming belt promotion. Please save for your records as verification.
$55.003rd 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.
$600.004th 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