Shout Outs for the Black Belt Test Program

Give a Program Shout Out to Your Favorite Black Belt Candidate!

Example: "Way to go Michael! We love you!" ~ from Mom & Dad

Shout out prices are:

$2.00 for up to 20 words (no more than two typed lines in text box below)

$8.00 for 1/3 page (size 2.5" x 5") ** (Can include a Picture)

$20.00 for full page (5" x 8") ** (Can include a Picture)

**if you wish to include pictures or graphics, please email to [email protected]
with a subject heading "Black Belt Program Shout Out"

What Black Belt Test is Your Shout Out For:

Pick Black Belt Test Shout Out is For:*

May - Black Belt Test
November - Black Belt Test

Shout Out #1

Shout Out #1 Type*

Shout Out #1 - Name of Black Belt Candidate(s):*

Shout Out #1 From:*

Shout Out #1 Text:*

Shout Out #2

Shout Out #2 Type:

Shout Out #2 - Name of Black Belt Candidate(s):

Shout Out #2 From:

Shout Out #2 Text:

Total

$0.00

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