GRADING FORM

Use this form if your child or yourself have qualified to attend grading.
Full Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Current Rank (Your current belt colour)*
Belt Size (Size on label on belt)*
Price*
- Ninjaroos $ 60
- White Wolf - White Belt to Blue Belt $ 60
- White Wolf - Purple Belts (no outside grading) $ 90
- White Wolf - Brown Belt with Red, White or Black Tip (no outside grading) $ 90
- White Wolf - Full Brown Belt (no outside grading) $ 125
Optional
- Grading outside grading day add $ 25. You will be graded in your regular class
Date*
Day
Month
Year
Location/Dojo*
Any Additional Information or Notes
Total
$ 0.00
Credit Card

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Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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