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Kickboxing with Genesis Martial Arts
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Book Brown Belt
White Stripe
Please use the form below. Your answers will open up new areas of the form.
Brown Belt White Stripe Grading
Belt size
*
Please select
250cm (up to 26" waist)
280cm (up to 32" waist)
320cm (32" waist and above)
Grading Date
*
5th November 2023 - 11:00 - 13:00 - Brown Belt White Stripe Grading
Location
*
Wycombe Leisure Centre, Handy Cross, High Wycombe HP11 1UP
Instructor Name
*
Please select
Corey Cain
Fitzroy Connor
Joel Hoyte
Matthew Jackson
Main Training Centre
*
Please select
Beaconsfield - The Beacon Centre
Hedgerley - Hedgerley Memorial Hall
High Wycombe - Wycombe Sports Centre
High Wycombe - Disraeli School
Stoke Poges - Stoke Poges Village Hall
Student Details
Student first name and surname
*
Date of Birth
*
DD slash MM slash YYYY
Address
*
Address Line 1
Address Line 2
City
Post Code
Phone
*
Email
*
Licence No:
My licence will be valid at the time of the course
*
Yes
No
If your licence has expired or will expire before your course please renew it now.
Click here
to enter the form online.
Brown Stripe Grading
*
Price:
Payment Details
Pay online
*
Card Details
Cardholder Name
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