International Moo Yea-Do Federation
Application for Promotion

Name:

DOB:

Age:

Address:

City:

Home:

Work:

Cell:

Zip Code:

Present Rank: White Belt Yellow Belt Orange Belt Orange Stripe Purple Belt Purple Stripe Green Belt Green Stripe Blue Belt Blue Stripe Brown Belt Brown Stripe Red Belt Red Stripe Candidate Black Belt Candidate Black Belt Stripe

Testing For: Yellow Belt Orange Belt Orange Stripe Purple Belt Purple Stripe Green Belt Green Stripe Blue Belt Blue Stripe Brown Belt Brown Stripe Red Belt Red Stripe Candidate Black Belt Candidate Black Belt Stripe

Test Date: 9:30am

Makeup: 6:30pm

Belt Size: 000 00 1 2 3 4 5 6 7 8

Test Fees: White \ Yellow $45 Orange \ Orange Stripe $50 Purple \ Purple Stripe $55 Green \ Green Stripe $60 Blue \ Blue Stripe $65 Brown \ Brown Stripe $75 Red \ Red Stripe $115 Candidate Black Belt $135 Candidate Black Belt Stripe $255

Make up Test: Add an additional $10 to the original fee per application

Test Part	Grade	Comments
Form	A B C D E F
Self Defense	A B C D E F
Nunchaku	A B C D E F
Combinations	A B C D E F
Breaking	A B C D E F
Knowledge	A B C D E F
Verbal Requirements	A B C D E F
Energy \ Ki Hap	A B C D E F

Recommendations:

Pass:__________            Fail:__________            Restest\Makeup:__________

Judge:______________________________________________