Belt passport

Record my stripes & belts

1. You2. Stripes3. Belts4. Review

Who is this for?

New to the academy with rank from another gym? Add your history here. Parents fill this in for kids.

I’m the studentI’m a parent

Student first name

Student last name

Student date of birth

Your name (if parent)

One row per stripe: the stripe number, the belt it was on, the date, and who gave it.

Stripe #

On belt

Date

Instructor

One row per belt you were promoted to (skip your first white belt).

Belt

Date

Instructor