Promotion Test Information
Test Date: August 20, 2022
Time: 2:00 PM - 6:00 PM
Registration Deadline: July 23, 2022 (Complete Regstration form including payment)
Belt Promotion Test Registration Fees: 1st Dan/Poom $550.00 Plus Tax
If test is completed with a passing grade, the following are included in each black belt test,
Adidas Black/Poom Belt Dobok
Adidas Black/Poom Belt
Kukkiwon Certificate Application
If the black belt candidate requires a re-test due to a non-passing grade, additional fees will be required for a re-test.
I hereby give permission for myself/my child to participate in Jeon Eui Taekwondo Black Belt Promotion Test. I understand that there is no refund on black belt promotion test fee. For extenuating circumstances, the black belt test may be postponed by providing written notice within 48 hours after the test. Only one postponement will be allowed and it must be re-scheduled within one year. Having read and understood all the information on this form, I hereby allow myself/my child to attend Black Belt Promotion Test. The Waiver Forms that I have signed at Jeon Eui Taekwondo will also apply to the Black Belt Promotion Test.
Sign by parent or legal guardian if under 19 years of age
Bank Withdrawal Authorization
I/We hereby authorize Jeon Eui Taekwondo to direct my Financial Institution to debit my/our bank account, on file for $577.50 for the black belt promotion test fees.
If any payment is returned by the Bank for any reason, I/we will be responsible for Non-Sufficient Funds (NSF) and/or administration charges.
I/We, the undersigned, have read, understood, and agree to the terms and conditions of this agreement.