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Kickboxing with Genesis Martial Arts
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Kickboxing Junior/Adult Main Grading
May 17 @ 9:00 am
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*
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Applicant/parents details
Applicants/Parents Name
*
First
Last
Grading Details
Date
*
17th May 2026
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Date
*
12th December 2025
Venue
*
Judo Centre, Barry Close, High Wycombe, HP12 4UE
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Venue
*
Stoke Poges Village Hall 129 Rogers Lane, Stoke Poges, Slough SL2 4LP
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
Which belt are you grading for?
*
Please select
White Belt
Blue Belt
Orange Belt
Green Belt
Purple Belt
Brown Belt
Brown Belt White Stripe
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Which sash are you grading for?
*
White Sash
Blue Sash
Orange Sash
Green Sash
Yellow Sash
Purple Sash
Brown Sash
Time
*
Arrive by 09:00am. Start time 09:15am - 09:45am
Time
*
Arrive by 10.30am. Start time 11:00am - 12:00 Noon
Time
*
Arrive by 9:30am. Start time 10:00am - 10:45am
Time
*
Arrive by 11:45am. Start Time 12:15am - 1:30pm.
Time
*
Arrive by 1:00pm. Start Time 1:30pm - 3:15pm.
Belt Size
*
Please select
250cm (up to 26" waist)
280cm (up to 32" waist)
320cm (32" waist and above)
Student Category
*
Please select
Ages 8–11 (Years 3–6)
Ages 12–14 (Years 7–9)
Ages 15 and up (Years 10 and over)
Instructor Name
*
Please select
Corey Cain
Fitzroy Connor
Jett Westwood
Joel Hoyte
Matthew Jackson
Trevor John
Anastasia Gosalia-Bergman
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
*
Price:
Blue Belt
*
Price:
Orange Belt
*
Price:
Green Belt
*
Price:
Purple Belt
*
Price:
Brown Belt
*
Price:
Blue Sash
Price:
Orange Sash
Price:
Green Sash
Price:
Yellow Sash
Price:
Purple Sash
Price:
Brown Sash
Price:
Total
Pay online
*
Card Details
Cardholder Name
Δ
Details
Date:
May 17
Time:
9:00 am
Website:
https://www.genesis-ma.com/book-grading/
Organiser
Genesis Martial Arts
Email
enquiries@genesis-ma.com
View Organiser Website
Venue
Wycombe Judo Centre
Barry Close
High Wycombe
,
Bucks
HP12 4UE
United Kingdom
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Details
Date:
May 17
Time:
9:00 am
Website:
https://www.genesis-ma.com/book-grading/
Organiser
Genesis Martial Arts
Email
enquiries@genesis-ma.com
View Organiser Website
Venue
Wycombe Judo Centre
Barry Close
High Wycombe
,
Bucks
HP12 4UE
United Kingdom
+ Google Map
Brown and Black Belt Tag Course 2
Brown and Black Belt Tag Course 3
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