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Clemmons Campus
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Home
About
Our History
Our Team
FAQ
Publications
Abuse Prevention and Safety
Programs
Kids Taekwondo Classes
Teen And Adult Taekwondo Classes
Family Taekwondo Classes
Graduation
Summer Camp
Birthday Parties
Schedule A Party
Pay For Your Party
Liability Waiver
Shop
Reviews
Join
Contact Us
Clemmons Campus
Country Club Campus
Davie County Campus
Hickory Tree Campus
Kernersville Campus
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Black Belt Intake Form
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Black Belt Intake Form
Black Belt Intake Form
Student's Name To Appear On Belt
First Name
(Required)
Last Name
(Required)
Belt Eligible To Test For
(Required)
Reminder: Current Black Stripe testing for 1st Degree = 1st Degree Current 1st Degree testing for 2nd Degree = 2nd Degree Current 2nd Degree testing for 3rd Degree = 3rd Degree
Select A Degree
1st Degree
2nd Degree
3rd Degree
Campus Location
Clemmons Campus
Country Club Campus
Davie County Campus
Hickory Tree Campus
Kernersville Campus
Oak Ridge Campus
Date of Birth
(Required)
Month
Day
Year
Belt Size
(Required)
Size 0 (76in)
Size 1 (84 in)
Size 2 (92 in)
Size 3 (100 in)
Size 4 (108 in)
Size 5 (116 in)
Size 6 (124 in)
Size 7 (132 in)
Kukkiwon Number
First Degree and above. You can find your kukkiwon number on your previous Kukkiwon certificate
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