11435 A Palmetto Park Rd.
Boca Raton, FL 33428
561-482-9049
561-482-1896 (fax)

N.A.T.S.D.F. Jr. DAN BLACK BELT TESTING

CANDIDATES NAME _______________________DATE ___/___/___

ATTITUDE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ____ Total

WRITTEN TEST- Taken at studio 12345 ____ Total

QUESTION SHEET - WILL BE HANDED IN BEFORE TEST STARTS. 123456789 ____ Total

NAME OF INSTRUCTOR SCORING THIS TESTING. ____________________________________

KICKING - Spoken in Korean, then English, each move made twice. (must face partner.)

1:  Front kick Ahp Cha Nut Gi

2:  Side kick Yup Cha Gi

3:  Round-house kick Dull Ryo Cha Gi

4:  Crescent kick Phakeso Ahnuro Cha Gi

5:  Ax kick. Phakeso Ahnuro Cha Gi Striking

6:  Step behind side kick Step behind  Yup Cha Gi

7:  Spinning inside/outside kick Dwi Cha Gi Short..

8:  Jump front kick E-dan Ahp Cha Nut Gi

9:  Back kick Dwi Cha Gi

10 Spinning back kick long) Dwi Cha Gi Long

11: Jump round-house kick. E-dan Dull Ryo Cha Gi

12: Jump side kick E-dan Yup Cha Gi

13: Back side snap kick Dwi Yup Podo Cha Gi

14: Hook kick - rear leg Hu Ri Gi

15: Back hook kick Dwi Hu Ri Gi

16: Jump inside/outside kick E-dan Ahneso Phakuro Cha Gi.

17: Jump crescent kick E-dan Phakeso Ahnuro Cha Gi.

18: Jump back kick. E-dan Dwi Cha Gi.

19: Ground tech.  

20: Heavy Bag Jump back kick, both legs

21: Rolls on the mat and falls

If done wrong place (X) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 ____ Total

FORMS -- Three or less students at a time, all forms then they sit down.

Passai    1 2 3 4 5  ____ Total

WEAPONS FORM -- One at a time 1 2 3 4 5 ____  Total

BREAKING - 10 breaks 5 hand 5 foot (one board)

1 2 3 4 5 6 7 8 9 10 ____  Total

CHOKES 1 2 3 4 5 6 7 8 ____ Total

RANDORI- Three on one 1 2 3 4 5 ____ Total

RIBBON 1 2 3 4 5 ____  Total

HISTORY 1 2 3 4 5 ____ Total

QUESTIONS

ENDURANCE - 240 punches in one minute. 50 push ups

1 2 3 4 5 6 7 8 9 10 ____ Total

CLOSING REMARKS

BASIC TERMINOLOGY

If done wrong place (X) 1 2 3 4 5 6 7 8 9 10 11

TWO TIMES EACH TECHNIQUE

Read from the list; spoken twice in Korean. once in English, Each move made twice.

1. Ha Dan Mahkee

Low Block

2. Sang Dan Mahkee

High Block

3. Chungul Sang Soo Ahneso Phakuro Mahkee

Front Stance, Two-handed Inside/Outside Block

4. When Jin Kong Kyuck

Side Punch

5. Choong Dan Soo Do Mahkee

Center Soo Do Block

6. Ha Dan Mahkee, Turo Sang Dan Kong Kyuck

Low Block, Reverse High Punch

7. Sang Dan Mahkee, Turo Choong Dan Kong Kyuck

High Block, Reverse Center Punch

8. Ahp Cha Nut Gi, Turo Choong Dan Kong Kyuck

Front Snap Kick, Reverse Center Punch

9. Ahneso Phakuro Cha Gi, Turo Choong Dan Kong Kyuck

Inside outside kick, Reverse Center Punch

10. Phakeso Ahnuro Cha Gi, Yup Podo Cha Gi, Turo Choong Dan Kong Kyuck

Crescent kick, Side kick, Reverse Center Punch

11. Ha Dan Mahkee, Turo Sang Dan Mahkee, Choong Dan Kong Kyuck

Low Block, Reverse High Block, Center Punch

TOTAL ___________________

Divide by: 119

(100-90 % NO RETEST)( 89- 85 % 1 MO.)( 84-80 % 2 MO.)( 79-75 % 3 MO.)( UNDER 75 % 6 MO.)