AETA Black Belt Training – 18/10/25

First Name: *

Last Name: *

Email: *

Grade: * Please Select Red Belt Black Tag 1st Dan 2nd Dan 3rd Dan 4th Dan 5th Dan 6th Dan

Instructor: * Please Select Mr Adams Mr Arroyo Master Dunn Mrs Fox Longdon Mr Hutcheson Master Lear

Club: * Please Select Aldershort Alton Camberley Cranbrook Crowborough Farnborough Heathfield Hinckley Lewes Tenterden Tonbridge Uckfield

This entrant has a valid AETA licence. My entry may be cancelled if I am unlicensed.: * Yes

I request images of me from this event not to be included in promotional material for AETA: Yes