LD Belt Test

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1st Student Information

Future Black Belt Behavior: Please evaluate this student’s performance in the following areas:

2nd Student Information

Future Black Belt Behavior: Please evaluate this student’s performance in the following areas:

3rd Student Information

Future Black Belt Behavior: Please evaluate this student’s performance in the following areas:



Terms & Agreements

In keeping with the principles and values of “Black Belt Excellence” taught at Marietta Martial Arts, the student agrees, as does the parent, that if any of the following items are not being upheld, that MMA has the right to suspend the student’s rank or status as a student of MMA.

1. Performance at School: Student will demonstrate focus, show respect to teachers and classmates, complete class work and homework in a timely manner and continually put forth his or her best effort in achieving the best possible grades.

2. Performance at Home: Student will show respect to parents, siblings as well as other family members and friends, complete chores with a self-disciplined, positive attitude, and not argue / talk back to your parents.

3. Performance at MMA: Student will exhibit “Future Black Belt” behavior both on and off the training floor by always putting forth his or her best effort, and showing respect to instructors and peers.

4. Use of Martial Arts Techniques: Student will not use the skills learned at MMA in an inappropriate manner or for the purpose of causing harm to someone else. These skills are only to be used in class at MMA, under approved parental supervision and in an extreme situation where self-defense would be deemed appropriate.

I understand that once I have achieved a belt rank, that if my behavior is not in accordance with “Black Belt Excellence,” then, at the discretion of Marietta Martial Arts, I may lose my belt rank.

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