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Birthday
Month
Day
Year
Are you a ZKCS Member (Annual Membership)?
Yes
No
Consent to participate in testing and accept results?
Yes
No
Agree to pay any applicable fees?
Yes
No
Waiver of liability and assumption of risk statement signed and submitted ?
Yes
No
Is this your first time testing in this program?
Yes - First Time
No - Retest (Same Level)
No - Previously Tested (Diff Level)
Which level are you testing for?
Sanay Fundamentals I
Sanay Fundamentals II
Sanay Fundamentals III
Yakan Fundamentals Intermediate
Bihasa Fundamentals Advanced
Lakan — Black Belt
Lakan Isa — 1st Degree Black Belt
Lakan Dalawa — 2nd Degree Black Belt
Lakan Tatlo — 3rd Degree Black Belt
What was the last level you passed (test)?
None
Sanay Fundamentals I
Sanay Fundamentals II
Sanay Fundamentals III
Yakan Fundamentals Intermediate
Bihasa Fundamentals Advanced
Lakan — Black Belt
Lakan Isa — 1st Degree Black Belt
Lakan Dalawa — 2nd Degree Black Belt
Lakan Tatlo — 3rd Degree Black Belt

Testing Submission Form

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