Korean Swordsmanship Program
On-Line Registration Form

I.T.A. Institute
P.O. Box 281,   Grand Blanc,   MI   48480   USA
Tel: (810) 232-6482    


This On-Line Registration Form
is for those who wish to pay by CREDIT CARD.


Complete the form below and then click "Submit Application" at the bottom of this page.



To be admitted to the Shim Soo Do 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. When your Admission fee and Tuition fee have been paid in full and you have been admitted to the Program, you will receive the following:


      (1) 5 Korean Swordsmanship DVDs (white belt to black belt).
      (2) KMAF (Korean Martial Arts Federation) Certificate of Rank.
      (3) KMAF (Korean Martial Arts Federation) Rank and Rank and Identification Card.
      (4) Program Guide outlining the requirements to reach the 1st Degree Black Belt level in Shim Soo Do.

You MUST submit a copy of your current Certificate of Rank. There is an attachment button at the bottom of this application for doing this.
The copy of your certificate must be in a .jpg format, no larger than 300KB.

When we receive the copy of your certificate of rank it shall be reviewed.
Once reviewed and approved we will then charge your credit card and process your application.

Advancing In Rank

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

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

Acknowledgement of Terms and Conditions of Payment

I hereby apply for admission to the Shim Soo Do 1st Degree Black Belt Program.
I fully understand that there are no refunds for any admission or tuition fees.
I certify that all information contained in 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.

You must Select:
"I Agree To The Terms and Conditions of Payment"
in Order to process your applicaiton.


Please allow 2 to 4 weeks for processing.
(Payments are to be in U.S. Currency)

Korean Swordsmanship Program   ITA Headquarters    KMAF    DVD Videos    Books





Credit Card Holder Information

Name (As it appears on Card):
Street Address:
City:
State:
Zip Code:
Country:
Phone: (Required
E-Mail Address (Required)



Credit Card Information

Card Number:
    Credit Card:     Exp. Date: Month Year



Select Your Payment Amount







Shim Soo Do (Korean Swordsmanship)
(1st Degree Black Belt Program)
Application for Admission


First Name:
Middle Initial:
Last Name:
Street Address:
City:
State:
Zip Code:
Country:
Phone: (Required)
    Date of Birth (Month):
    Date of Birth (Day):
Date of Birth (Year):
Attach Your Certificate .jpg File:(Required):

                 

You MUST attach a copy of your current certificate of rank.
Attachment must be in a .jpg format, no larger than 300KB.


 
    

Secure form by FormNut.com

Top of Page

Return To Korean Swordsmanship Program Information