BTKD GRADINGS

DECEMBER 2010

Venue 1
Sunday 5th December at Amersham
5.00pm All Juniors and Adults up to 5th Kup.
Woodside Junior School Mitchell Walk, Amersham, HP6 6NW.

Venue 2

Saturday 11th December at Lower Earley.

11.15am All Juniors and Adults up to 5th Kup.
Lodden Valley Leisure Centre, Rushey Way, Lower Earley, RG6 4GD

All students are required to answer theory questions for their grading. If you need a BTKD student hand
book please tick this box, and add an additional £5 to your grading fee. ( £35)

Please complete all sections of the application below. If it is incomplete this may delay your application. You need a valid membership number
in order to be able to grade. Please tick the appropriate box below.

Name: Club Current Grade Mem No

.

Grading No Grading Date Venue Start Time .

I enclose a cheque / cash for £30/ £35 I enclose a voucher for £ with my payment of £

I paid last time and missed the grading No payment enclosed, I am on premier plan
If you send your application in the post, please check with our office to confirm we have received it. The grading payment of £30 is for all
applications processed one week prior to your grading date. Grading applications processed within a week of your grading date will INCUR a
£5 surcharge.

If you would like to pay by credit or debit card, please complete a separate card payment form available from your instructor.
 BTKD GRADINGS
DECEMBER 2010

Venue 1
Sunday 5th December at Amersham
5.00pm All Juniors and Adults up to 5th Kup.
Woodside Junior School Mitchell Walk, Amersham, HP6 6NW.

Venue 2

Saturday 11th December at Lower Earley.

11.15am All Juniors and Adults up to 5th Kup.
Lodden Valley Leisure Centre, Rushey Way, Lower Earley, RG6 4GD

All students are required to answer theory questions for their grading. If you need a BTKD student hand
book please tick this box, and add an additional £5 to your grading fee. ( £35)

Please complete all sections of the application below. If it is incomplete this may delay your application. You need a valid membership number
in order to be able to grade. Please tick the appropriate box below.

Name: Club Current Grade Mem No

.

Grading No Grading Date Venue Start Time .

I enclose a cheque / cash for £30/ £35 I enclose a voucher for £ with my payment of £

I paid last time and missed the grading No payment enclosed, I am on premier plan
If you send your application in the post, please check with our office to confirm we have received it. The grading payment of £30 is for all
applications processed one week prior to your grading date. Grading applications processed within a week of your grading date will INCUR a
£5 surcharge.

If you would like to pay by credit or debit card, please complete a separate card payment form available from your instructor.