High Rank And Masters Retest Request
Please fill out this form with current information.
What type of Re-Test are you taking
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First Name
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Last Name
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Belt Size
Current Rank
Gender
Please list the last High Rank testing event you participated in.
Previous Event Location
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Reason for No Change
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Please select the testing event you wish to participate in.
Event Location
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Academy Name
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Instructor Name
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Email
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Phone Number (XXX) XXX-XXXX
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Street Address
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City
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State
Zip Code
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