Lewis Institute Tae Park Mid-South Tae Kwon Do
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  • Forms & Applications
  • Home
  • Mid-South Instructors
  • Mid-South News and Photos
  • Lewis Institute Youth Group and Demonstration Team
  • Mid-South Calendar of Events
  • Forms & Applications

Forms & Applications

On this page you will find forms, applications, medical release forms, etc. to complete as needed.
testing must be approved by your instructor.

Testing & Scholarship Applications

Tae Park Tae Kwon Do Color Belt Testing Application
Complete this form with your instructor's consent for color belt testing.
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WCTKD Tae Park Tae Kwon Do Black Belt Testing Application
​​Black Belt Oath and Written Test
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Complete these updated forms, with your instructor's consent, when applying for black belt testing. 
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2024 WCTKD Scholarship Application
This form is for all students interested in applying for a World Class Tae Kwon Do College Scholarship.  Applicants are required to submit reference letters, resumes, etc.  The application is required to be accompanied by two 500 words or less essays.

Board Breaking Testing Requirements
Color Belts (Green Belts and higher)
  • 9 years old and under = 1/2 board (shaved)
  • 10-13 years old = 1 board
  • 14-17 years old = 2 boards
  • 18 years and older = 3 boards
Black Belts
  • 1st Dan
    • 12 years old and under = 1 board
    • 13-17 years old = 2 boards
    • 18 years and older = 3 boards
  • 2nd Dan
    • 12-16 years old = 2 boards
    • 17 years and older = 3 boards
  • 3rd Dan
    • 16 years and older = 3 boards

Seminar & State Games Forms

Local Seminar Entry Form and Medical Release Form
Please complete and turn in the two pages of this form to participate in local Lewis Institute Mid-South Tae Kwon Do Seminars. (Includes application as well as a medical release form).
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Tennessee Qualifying Tournament For The National Congress Of State Games Tournament Rules Form
TN Qualifying Tournament Information Form
Tennessee State Games Liability Waiver Form
Tennessee State Games Medical Release Form
Please complete these forms to participate in the Tennessee State Games.  Please submit forms and fees to Master Betty Henderson. Contact information is listed on the form. 


Membership Application

Lewis Institute Membership Application
File Size: 414 kb
File Type: jpg
Download File

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