NAME_________________________________________________ DATE_____________
| Beginner Level | Score | Notes | |
|---|---|---|---|
| Punches and Strikes: | |||
| Back Fist from Iron Horse Stance | |||
| Reverse Punch from Fighting Stance | |||
| Ridge Hand from Fighting Stance | |||
| Kicks: | |||
| Short Roundhouse Kick from a Fighting Stance | |||
| Turning Roundhouse Kick from a Fighting Stance | |||
| Side Kick from an Iron Horse Stance | |||
| Hook Kick from an Iron Horse Stance | |||
| Back Kick from an Iron Horse Stance | |||
| Intermediate Level | Score | Notes | |
|---|---|---|---|
| Double Back Fist from an Iron Horse Stance | |||
| Bottom Fist from a Fighting Stance | |||
| Turning Back Kick from an Iron Horse Stance | |||
| Thrust Kick from a Fighting Stance | |||
| Advanced Level | Score | Notes | |
|---|---|---|---|
| Low,High Roundhouse Kick from a Fighting Stance | |||
| Inside Cresent Kick from an Iron Horse Stance | |||
| Outside Cresent Kick from a Fighting Stance | |||
| Axe Kick from a Fighting Stance | |||
| Spinning Crescent Kick from a Fighting Stance | |||
| Black Belt Level | Score | Notes | |
|---|---|---|---|
| Spinning Back Kick from a Fighting Stance | |||
| Spinning Heel Kick from an Iron Horse Stance | |||
| FINAL SCORE | |||
Instructor's Name _______________________________________________