Threefold Lotus Kwoon Threefold Lotus Kwoon Threefold Lotus Kwoon Threefold Lotus Kwoon Testing Application Testing Application Testing Application Testing Application *Must be accompanied by proper registration amount (clip or staple envelope to application) Student Name ______________________________________ Current Level ___________________________Age _______ Certificate TESTING FEE $100.00 ALL Levels (Must Accompany Registration) “Opening of the Eyes” - Level One, Two, Three Test - Formal uniform & school patch required “The Gateway” – Senior, Disciple, Sr. Disciple, Expert Test - Formal uniform, school patch “The Way” – Instr., Sr. Instr., Head Instr. and up Test - Formal uniform, all patches, complete gear Demonstration TESTING FEE $50.00 ALL Levels (Must Accompany Registration) All Levels - Formal uniform & school patch required GEAR REQUIREMENTS ! Boxing styled gear – Yellow, blue or black Hand Gear open finger MMA style w/ wrist support o Blue Head Gear, Foot, Shin, o Elastic Elbow pads o Double (upper and lower) Mouth Piece o Groin protection (males-Cup & Support) (females groin pad). CLASS REQUIREMENTS A minimum class attendance of two per week, or sixteen classes per demonstration testing cycle. Demonstration testing is bi-monthly (six per annum). Minimum requirements for each Certificate Level, please refer to Student Manual. __________________________________________________________________ _______________ Parent / Student Signature Date Signature on this form does not supercede any understanding or agreemants of liability and furthermore, the signing party agrees to all terms and conditions set forth in the waiver of liability contained within the Student Registration Form as below stated. 1. Student represents that (s)he is in good physical condition, is not suffering from any heart, lung or other bodily ailment and is in all respects physically fit to engage in the martial arts course. 2. Student has been advised that strict observance of the rules and regulations relative to martial arts self-defense training is mandated and includes the use of protective equipment. The school does not warrant that the protective equipment will completely eliminate the possibility of accident, injury, or death but will substantially reduce the risk of accident, injury or death. 3. Employees of the school, other students and authorized individuals will use physical contact, as part of the course of instruction. Student has been advised of such fact and gives full consent to any physical contact as may be required or customary to martial arts training. 4. In recognition of the possibility of accident, injury, or death connected with martial arts training, student waives any right or cause of action of any kind arising as the result of such activity from which any liability may or could accrue to the school, its officers, agents, employees, instructors and/or students.

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Page 1: Threefold Lotus KwoonThreefold Lotus Kwoon Testing Applicationthreefoldlotus.com/forms/testing.pdf · Threefold Lotus KwoonThreefold Lotus Kwoon Testing Application *Must be accompanied

(clip or staple envelope to application) Student Name ______________________________________ Current Level ___________________________Age _______ Certificate TESTING FEE $100.00 ALL Levels (Must Accompany Registration) “Opening of the Eyes” - Level One, Two, Three Test - Formal uniform & school patch required “The Gateway” – Senior, Disciple, Sr. Disciple, Expert Test - Formal uniform, school patch “The Way” – Instr., Sr. Instr., Head Instr. and up Test - Formal uniform, all patches, complete gear Demonstration TESTING FEE $50.00 ALL Levels (Must Accompany Registration) All Levels - Formal uniform & school patch required

GEAR REQUIREMENTS ! Boxing styled gear – Yellow, blue or black Hand Gear open finger MMA style w/ wrist support

o Blue Head Gear, Foot, Shin, o Elastic Elbow pads o Double (upper and lower) Mouth Piece o Groin protection (males-Cup & Support) (females groin pad).

CLASS REQUIREMENTS

A minimum class attendance of two per week, or sixteen classes per demonstration testing cycle. Demonstration testing is bi-monthly (six per annum). Minimum requirements for each Certificate Level, please refer to Student Manual. __________________________________________________________________ _______________ Parent / Student Signature Date Signature on this form does not supercede any understanding or agreemants of liability and furthermore, the signing party agrees to all terms and conditions set forth in the waiver of liability contained within the Student Registration Form as below stated.

1. Student represents that (s)he is in good physical condition, is not suffering from any heart, lung or other bodily ailment and is in all respects physically fit to engage in the martial arts course.

2. Student has been advised that strict observance of the rules and regulations relative to martial arts self-defense training is mandated and includes the use of protective equipment. The school does not warrant that the protective equipment will completely eliminate the possibility of accident, injury, or death but will substantially reduce the risk of accident, injury or death.

3. Employees of the school, other students and authorized individuals will use physical contact, as part of the course of instruction. Student has been advised of such fact and gives full consent to any physical contact as may be required or customary to martial arts training.

4. In recognition of the possibility of accident, injury, or death connected with martial arts training, student waives any right or cause of action of any kind arising as the result of such activity from which any liability may or could accrue to the school, its officers, agents, employees, instructors and/or students.