Black Belt Workout

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First & Last Name

Cell Phone Number

UWTA Member #

Rank

Email

Taekwondo School Name

Please contact your Instructor for more information or eligibility questions.

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Contact UWTA Headquarters

Text/Call: 916-460-UWTA (8982)

Location: 6840 Watt Ave

North Highlands, CA 95660

Mailing: P.O. Box 215846

Sacramento, CA 95821

is strictly prohibited.

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