Belt Test Thursday, May 11, 2017 5:15 PM 6:45 PM 17:15 18:45 Shogun Martial Arts 5021 Fairfield Street Metairie, LA, 70006 United States (map) Google Calendar ICS Student Name * First Name Last Name Test Date * MM DD YYYY Current Belt * White Yellow 2 Yellow 1 Orange 2 Orange 1 Green 2 Green 1 Purple 2 Purple 1 Brown 3 Brown 2 Brown 1 Black Belt Belt Testing For * Yellow 2 Yellow 1 Orange 2 Orange 1 Green 2 Green 1 Purple 2 Purple 1 Brown 3 Brown 2 Brown 1 Black Belt Months/Years Training * Age * Gi Size * Parent/Guardian First Name Last Name Phone * (###) ### #### Email Address * Thank you! Belt Yellow $35.00 USD Orange $35.00 USD Green $35.00 USD Purple $40.00 USD Brown $45.00 USD Black $60.00 USD
