BUSHIDO THE WAY OF THE WARRIOR - Arizona School of Traditional Karate
Traditional Karate Institute Canada · Traditional Karate Institute Canada Individual Examination...
Transcript of Traditional Karate Institute Canada · Traditional Karate Institute Canada Individual Examination...
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Revised June/2014
Traditional Karate Institute Canada Individual Examination Form
To be completed by the STUDENT: Last Name: (please print)
First Name: (please print)
Age: M / F
Date:
Location: Current Rank: Date Rank Received: Home Dojo: Membership #:
To be completed by the EXAMINER: Subject Weakness Score Comment
H 1 – 2 – 3 – 4 – 5 T 1 – 2 – 3 B – E – J – K
Other:
FRM BD PW TR
Kihon
Stance Punch Block Strike Kick
Kumite Offence TD (kime / balance)
TM MA
Kumite Defence TD (kime / balance)
TM MA
Total Score
General Area of Weakness to Correct
Head Alignment Eye Line Hip Alignment Top Power Rear Foot Control Kicking Leg
Squeeze Back Stance Pressure Kime
Stance Alignment Pulling Hand
Breath Control Overall Tension Emotional Control Tight Ankles Tight Hips
Comment: Result: Examiner:
Last Name please print: First Name please print: Age: Date: Location: Current Rank: Date Rank Received: Home Dojo: Membership: Check Box1: OffCheck Box2: OffReset: ResetPrint: Print