KYU TEST REGISTRATION FORM

Our main objective at Buzz Durkin’s Karate School is to develop well rounded students. Our program focuses on developing self-discipline, self-confidence, and a positive mental attitude. We require all of our students to demonstrate these attitude skills by improving their academic and social behavior. Would you please help us with the following?

Candidate's Name

First Name

Last Name

Email

Has the candidate been using their Martial Arts constructively at home/school/work?

Yes

No

Most of the time

Has the candidate been preparing for the test at home?

Ocassionally

Not at all

Every day

Are you comfortable with moving up to the next rank?

Yes

No

Please fill out the following guest list, so that we can accurately prepare our seating arrangement.

Any Additional Questions or thoughts?

I hereby agree to the Waiver terms (Look at the bottom of the page for details).

Waiver Details