YANG STYLE TAI CHI CHUAN RANKING APPLICATION FORM

1. IDENTIFICATION

First Name Last Name

Birthdate: Sex : M F
2"x2"
Association Member ID Month Day Year

Photo
Address
www.yangfamilytaichi.com

City State/Province Zip Code

Country Phone E-mail

YCF Center (if applicable) Current Rank & Year Obtained Ranking Certificate ID Rank Applied For

2. PRACTICE EXPERIENCE

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 3. APPRAISAL OF MARTIAL ARTS MORALS
Teacher's Appraisal:

Teacher's Signature: Date:

4. TEST RESULTS

Head Judge: Form Examiner:

Judge 1: Judge 2:

Judge 3: Judge 4:
www.yangfamilytaichi.com

Judge 5: Organizing Judge:

Hand Form (103) Hand Form (49)

Sword Form Saber Form

Theory Score Total Skill Score

Head Test Administrator Signature: Date:

5. RANKING COMMITTEE COMMENTS

Signature: Date:
6. EVALUATION COMMENTS (FOR ASSOCIATION USE ONLY)

Training Standards Department Signature: Evaluation Date:

Int'l Yang Style Tai Chi Chuan Association

4076 - 148th Ave NE
Redmond, WA 98052 USA

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