WAIMA GRADING REGISTRATION

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Hi there, please fill out and submit this form to register for your grading.

1
Number of people grading
1
2
3
4
5
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2
Gradee name 1
First Name
Last Name
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3
The rank Gradee 1 is going for
FMA - Yellow Belt
FMA - Orange Belt
FMA - Blue Belt
FMA - Green Belt
FMA - Brown Belt
FMA - Black Belt
FMA - 1st Dan
FMA - 2nd Dan
FMA - 3rd Dan
Muay Thai - Yellow
Muay Thai - Orange
Muay Thai - Blue
Muay Thai - Green
Muay Thai - Brown
Muay Thai - Black
Muay Thai - 2nd Deg
Muay Thai - 3rd Deg
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4
What is belt or singlet size
Belt (FMA) - JNR Small
Belt (FMA) - JNR Medium
Belt (FMA) - JNR Large
Belt (FMA) - SNR Small
Belt (FMA) - SNR Medium
Belt (FMA) - SNR Large
Singlet (Muay Thai) - XXS
Singlet (Muay Thai) - XS
Singlet (Muay Thai) - Small
Singlet (Muay Thai) - Medium
Singlet (Muay Thai) - Large
Singlet (Muay Thai) - XLarge
Singlet (Muay Thai) - XXLarge
Singlet (Muay Thai) - XXXLarge
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5
Gradee name 2
First Name
Last Name
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6
The rank Gradee 2 is going for
FMA - Yellow Belt
FMA - Orange Belt
FMA - Blue Belt
FMA - Green Belt
FMA - Brown Belt
FMA - Black Belt
FMA - 1st Dan
FMA - 2nd Dan
FMA - 3rd Dan
Muay Thai - Yellow
Muay Thai - Orange
Muay Thai - Blue
Muay Thai - Green
Muay Thai - Brown
Muay Thai - Black
Muay Thai - 2nd Deg
Muay Thai - 3rd Deg
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7
What is belt or singlet size
Belt (FMA) - JNR Small
Belt (FMA) - JNR Medium
Belt (FMA) - JNR Large
Belt (FMA) - SNR Small
Belt (FMA) - SNR Medium
Belt (FMA) - SNR Large
Singlet (Muay Thai) - XXS
Singlet (Muay Thai) - XS
Singlet (Muay Thai) - Small
Singlet (Muay Thai) - Medium
Singlet (Muay Thai) - Large
Singlet (Muay Thai) - XLarge
Singlet (Muay Thai) - XXLarge
Singlet (Muay Thai) - XXXLarge
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8
Gradee name 3
First Name
Last Name
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9
The rank Gradee 3 is going for
FMA - Yellow Belt
FMA - Orange Belt
FMA - Blue Belt
FMA - Green Belt
FMA - Brown Belt
FMA - Black Belt
FMA - 1st Dan
FMA - 2nd Dan
FMA - 3rd Dan
Muay Thai - Yellow
Muay Thai - Orange
Muay Thai - Blue
Muay Thai - Green
Muay Thai - Brown
Muay Thai - Black
Muay Thai - 2nd Deg
Muay Thai - 3rd Deg
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Enter
10
What is belt or singlet size
Belt (FMA) - JNR Small
Belt (FMA) - JNR Medium
Belt (FMA) - JNR Large
Belt (FMA) - SNR Small
Belt (FMA) - SNR Medium
Belt (FMA) - SNR Large
Singlet (Muay Thai) - XXS
Singlet (Muay Thai) - XS
Singlet (Muay Thai) - Small
Singlet (Muay Thai) - Medium
Singlet (Muay Thai) - Large
Singlet (Muay Thai) - XLarge
Singlet (Muay Thai) - XXLarge
Singlet (Muay Thai) - XXXLarge
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11
Gradee name 4
First Name
Last Name
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Enter
12
The rank Gradee 4 is going for
FMA - Yellow Belt
FMA - Orange Belt
FMA - Blue Belt
FMA - Green Belt
FMA - Brown Belt
FMA - Black Belt
FMA - 1st Degree
FMA - 2nd Degree
FMA - 3rd Dan
Muay Thai - Yellow
Muay Thai - Orange
Muay Thai - Blue
Muay Thai - Green
Muay Thai - Brown
Muay Thai - Black
Muay Thai - 2nd Deg
Muay Thai - 3rd Deg
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Enter
13
What is belt or singlet size
Belt (FMA) - JNR Small
Belt (FMA) - JNR Medium
Belt (FMA) - JNR Large
Belt (FMA) - SNR Small
Belt (FMA) - SNR Medium
Belt (FMA) - SNR Large
Singlet (Muay Thai) - XXS
Singlet (Muay Thai) - XS
Singlet (Muay Thai) - Small
Singlet (Muay Thai) - Medium
Singlet (Muay Thai) - Large
Singlet (Muay Thai) - XLarge
Singlet (Muay Thai) - XXLarge
Singlet (Muay Thai) - XXXLarge
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14
Gradee name 5
First Name
Last Name
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Enter
15
The rank Gradee 5 is going for
FMA - Yellow Belt
FMA - Orange Belt
FMA - Blue Belt
FMA - Green Belt
FMA - Brown Belt
FMA - Black Belt
FMA - 1st Dan
FMA - 2nd Dan
FMA - 3rd Dan
Muay Thai - Yellow
Muay Thai - Orange
Muay Thai - Blue
Muay Thai - Green
Muay Thai - Brown
Muay Thai - Black
Muay Thai - 2nd Deg
Muay Thai - 3rd Deg
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Enter
16
What is belt or singlet size
Belt (FMA) - JNR Small
Belt (FMA) - JNR Medium
Belt (FMA) - JNR Large
Belt (FMA) - SNR Small
Belt (FMA) - SNR Medium
Belt (FMA) - SNR Large
Singlet (Muay Thai) - XXS
Singlet (Muay Thai) - XS
Singlet (Muay Thai) - Small
Singlet (Muay Thai) - Medium
Singlet (Muay Thai) - Large
Singlet (Muay Thai) - XLarge
Singlet (Muay Thai) - XXLarge
Singlet (Muay Thai) - XXXLarge
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17
Primary persons Mobile Number* This field is required
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18
Primary persons E-mail* This field is required
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19
You train at?* This field is required
Greenwood
Currambine
Myaree
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20
My Products* This field is required
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costAUD
FMA - YELLOW JNR (skipping rope)
$30.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - YELLOW SNR (arnis, arnis bag)
$85.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - ORANGE JNR (includes shinguards, gloves, mouthguard)
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - ORANGE SNR (includes shinguards, gloves, mouthguard)
$150.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - BLUE JNR
$50.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - BLUE SNR (training dagger, padded sticks)
$150.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - GREEN JNR (arnis, arnis bag, MMA gloves)
$150.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - GREEN SNR (elbow pads, MMA gloves)
$150.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - BROWN JNR (black gi, badges, sewing, padded sticks)
$300.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - BROWN SNR (black gi, badges, sewing)
$250.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - BLACK JNR (black gi, embroidery on belt, badges, medallion, shodan booklet, event)
$400.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - BLACK SNR (black gi, embroidery on belt, badges, medallion, shodan booklet, event)
$400.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
FMA - 1st Dan JNR (black canvas 14oz gi, embroidery on uniform and belt , event)
$300.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - 1st Dan SNR (black canvas 14oz gi, embroidery on uniform and belt, stripe on belt)
$350.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - 2nd Dan JNR (embroidery and stripes on belt, event)
$300.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - 2nd Dan SNR (kanji and stripes on belt)
$350.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - 3rd Dan SNR (black canvas 14oz gi, badges, embroidery and sewing, kanji and stripes on belt)
$350.00AUD+Remove
Back
Quantity
Subtotal: $0.00AUD
FMA - 4th Dan SNR (white canvas 14oz gi, kanji and stripes on belt) 2
$250.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - YELLOW
$50.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - ORANGE
$60.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - BLUE
$70.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - GREEN
$80.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - BROWN
$120.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - BLACK
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - 2ND DEGREE
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
MUAY THAI - 3RD DEGREE
$150.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
SPECTATOR - ADULT
$10.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
SPECTATOR - FAMILY
$20.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
SPECTATOR - ADDITIONAL FAMILY MEMBER
$5.00AUD+Remove
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Quantity
Subtotal: $0.00AUD
Enter Coupon
Total: $0.00AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2019
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
Expiration Year
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