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USTA Dan Certification
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USTA Dan Certification
USTA Black Belt (Dan) Certification
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May 11th, 2026
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Complete Application, select "Apply Now" then select "Add to Cart" for payment
Section 1: Personal Information
Full Name
*
Address
*
City, State, Zip Code
*
Personal Email Address
Telephone Number
Birth Date
*
Please Select
Male
Female
Group or Dan Ranking
School Name
*
Master Name
*
School Email
Section 2: Rank Information and Signature
Present Rank
*
Promoted By
*
Rank Requested
*
Do You Hold a USTA Certification in Your Previous Rank?
*
Yes
No
Specify the Poomsae (Forms) you are proficient in below
*
Please indicate the Poomsae forms
Date of Last Promotion
*
His/Her Rank
*
Date of Promotion Test
*
Please Specify Rak
*
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