Book Grading

Please use the form below. Your answers will open up new areas of the form.

PLEASE BE AWARE BEFORE YOU BOOK YOUR GRADING THAT T-SHIRTS ARE NOT PERMITTED TO BE WORN FOR THE GRADING. ALL STUDENTS ARE REQUIRED TO TAKE THEIR GRADING IN A CLEAN AND WELL PRESENTED CORRECTLY FITTED TRAINING GI.

If your training Gi is too small, contains holes or is in disrepair please purchase a new one prior to the grading.

Applicant/parents details
Applicants/Parents Name*
First Last
Grading Details
Date*
Venue*
Venue*
Students details
Student's Name*
First Last
Does the student have any conditions, illnesses, or injuries that could affect their performance in the grading?*
- No
- Yes
Please add details
Date of birth*
DD slash MM slash YYYY
Which belt are you grading for?*
Time*
Time*
Time*
Time*
Time*
Belt Size*
Height in cm*
Instructor Name*
Licence No:
I have been pre-approved for this grading by a Genesis Instructor*
- Yes
- No
Please make sure you have 3 belt tags from your instructor (excluding those taking white belt) If you do not have 3 tags – do not continue – you might not be eligible to grade!
Please do not continue – speak to your instructor as you must be pre-approved before applying for your next grade
Contact Details
Address*
Address Line 1 Address Line 2 City Post Code
Emergency contact number*
Email*
Payment Details
White Belt Grading*
Price:
Blue Belt Grading*
Price:
Orange Belt Grading*
Price:
Green Belt Grading*
Price:
Purple Belt Grading*
Price:
Brown Belt Grading*
Price:
Brown Belt White Stripe Grading*
Price:
Total
£ 0.00
Pay online*
Card Details
Cardholder Name

Schedule

White Belt

Blue Belt

Orange Belt

Green and Purple Belt

Brown Belt and Brown Belt White Stripe

Book Grading

Applicant/parents details

Grading Details

Students details

Contact Details

Payment Details