Black Belt Course Application

For dates and locations of upcoming courses please check the Events Calendar. Please make sure you have met the course requirements; if you are unsure of these then please ask your Instructor.

I would like to apply for the following course

Date of Course (DD/MM/YYYY)

Course Venue

Student’s Title

Student’s Name

Address (including postcode)

Telephone Number

Email Address

Please provide information on previous qualifications (dates of courses and certificate numbers if applicable) in the box below.

Please ensure you have also sent us the following with your application:

Course Fee – Payable by Bank Transfer only
Umpires 1: £50,
Umpires 2: £50,
Referees 1: £50,
Referees 2: £50

Passport Photo – 1 recently taken passport style photo with plain background to be emailed

When your application, fee and photo have been received you will be sent an email to the address provided to let you know your application form has been printed and will be available for you to sign at your next lesson.

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