Belt Exams - Brown

You Are Submitting For Your Brown Belt Requirements

Please provide the information requested below and click the "Send Now" button.

First Name

Last Name

MY GOAL

MY GOAL STATEMENT:

MY MAIN OBSTACLE(S):

THE CONSEQUENCE:

MENTAL ACTION STEPS

Mental Action Step 1

Mental Action Step 2

Mental Action Step 3

PHYSICAL ACTION STEPS

Physical Action Step 1

Physical Action Step 2

Physical Action Step 3

MY BUDO BUDDY

Budo Buddy Partner 1

Budo Buddy Partner 2

Budo Buddy Partner 3

MY RESULTS (TAKEAWAYS / INSIGHTS):

MY PERSONAL EXPERIENCE (OPTIONAL):

Start Date

End Date

My Promise:

Sign above with your mouse (or finger on a mobile device.)

ATTACH YOUR BELT EXAM IMAGES: (Max of 10 files, no larger than 4MB each please)

Choose File

Once your images are attached please click the SEND NOW BUTTON below to submit. (Please only click it ONCE. It may take a minute to upload your images so please be patient.)

*I understand that the belt exam fee for my Brown Belt is NOT included with my membership (Brown Belt Exam - $250) and I authorize Satori Method to charge me for this exam using the card on file for my membership. And if I would also like a physical wristband belt to symbolize my belt status in real life, I will be able to order one for $1 plus S&H when I pass my exam.