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