ITA INSTITUTE
(Admissions and Records)
P.O. Box 281, Grand Blanc, MI 48480, USA
Telephone: (810) 232-6482

Weapons (1st Degree Black Belt Program)
Application For Admission

(Please Print Or Type)

Name:(Last)_________________________ First:__________________ M Initial:____

Address(Street):__________________________________ City:__________________

State:_________ Zip Code:_________________ Country:________________________

Date Of Birth: Month_____ Day_____ Year_________ Phone: (______)____________

To be admitted to the Program you must hold the rank of at least 1st Degree Black Belt in a Martial Art issued by an organization recognized by the Institute. Tuition includes: Weapons DVD Videos (White Belt to Black Belt), KMAF Certificate of Rank, KMAF Rank and Identification Card, and a Program Guide outlining the requirements you are to perform to reach the 1st degree black belt level in Korean Weapons. There are no belts included with the program. To enroll in the Program, submit the following at this time:

  1. Admission Application and Fee: $75.00 (Countries other than U.S. add $50.00)
  2. Program Tuition Fee In Full $295.00 (Payable in U.S. Funds).
  3. A Photocopy of your current Certificate of Rank.
Tuition Fee and Admissions Fee must be paid in full when you submit this application. All Tuition and Fees are non-refundable. Submit payment in the form of a Money Order or Certified Check.

Check One:       ___ Money Order   ___ Certified Check


Once admitted to the Program you may submit video(s) of yourself performing the requirements for each rank when you are ready to test. Include the $25.00 Examination Fee each time you test for each Gup level, and the $115.00 Fee when testing for 1st Degree Black Belt. All fees are non-refundable and subject to change. Fees must be in U.S. Funds made payable to ITA. Mail all materials to:

ITA INSTITUTE
Attn: Director of Admissions and Records
Post Office Box 281
Grand Blanc, Michigan 48480, U.S.A.

I hereby apply for admission to the Korean Weapons 1st Degree Black Belt Program. I fully understand that there are no refunds for any tuition or fees. I certify that all information on this application and materials submitted are true and accurate to the best of my knowledge. I further certify that I am at least 18 years of age.


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                                       Applicant's Signature                                                                   Date

Weapons Program Information