Black Belt Promotion Test | Referee Seminar & Written Test Registration

Referee Seminar and Written Test Information

Date: Saturday, July 23, 2022
Time: 2:30 PM - 4:30 PM (Including written exam)
Registration Deadline: June 30, 2022 (Complete Regstration form including payment if applicable)
Registration Fee: Included in the black belt test ($50 plus GST if re-test)

Test Applicant Information

First
Last
Address
Street Address
Apt./Building/Suite #
City
State/Province
Zip/Postal
Country
Black Belt Referee Written Test

Emergency Contact Information

Emergency Contact Name
Emergency Contact Name
First
Last

Waiver Information

I hereby give permission for myself/my child to participate in Jeon Eui Taekwondo Black Belt Promotion Test - Referee Seminar and Written Test. I understand that there is no refund on referee seminar and written test fee. For extenuating circumstances, the referee seminar and written 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 - Referee Seminar and Written Test. The Waiver Forms that I have signed at Jeon Eui Taekwondo will also apply to the Black Belt Promotion Test - Referee Seminar and Written Test.

Sign by parent or legal guardian if under 19 years of age

Payment Total