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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?
Fundamental Level (1-3)
Yakan Level (1)
Yakan Level (2)
Yakan Level (3)
Lakan Level (1)
Lakan Level (2)
Lakan Level (3)
Guro Level (1)
Guro Level (2)
Guro Level (3)
What was the last level you passed (test)?
None
Fundamental Level (1-3)
Yakan Level (1)
Yakan Level (2)
Yakan Level (3)
Lakan Level (1)
Lakan Level (2)
Lakan Level (3)
Guro Level (1)
Guro Level (2)
Guro Level (3)

Testing Submission Form

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