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Teen and
Adult
Student Life
Skills Packet
Discipline remembering what we want, what we REALLY, RE-ALLY want. We then make the choice to give up what we may want right now for what we truly want in the long run.
2020 5th cycle
You and/or your teen work on this form, and return it completed to us by November 30th
To be completed by the student List three ways you show your discipline 1.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 2.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 3.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ What is your weakest area? Give yourself a grade of 1-10. ____Will you commit to improving this area each week?________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ What would your life look like if you were as successful in this area as you’d like to be?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
To be completed by the parent (if under 18) Student is demonstrating good discipline through anger control, good habits, moderation, and responsibility (circle one)
Excellent Good Fair Needs Improvement Other Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Parent (if under 18) _______________________________________________
Student’s Name ______________________________________________
Silver Merit Stripe
Student’s Name ______________________________________________________ This cycle’s Life Skill is sharpening discipline. Please observe the student to see if he or she is being disciplined in the classroom, workplace, or anywhere they spend time away from their home or our dojo. Our student cannot advance to their next belt un-less they are behaving satisfactorily with you at school or in their adult life. Grades/job performance Excellent Good Fair Needs Improvement
Healthy habits Excellent Good Fair Needs Improvement
Active Listening Excellent Good Fair Needs Improvement
Respect Excellent Good Fair Needs Improvement
Promptness Excellent Good Fair Needs Improvement
Can you give an example of when the student demonstrated discipline?
I have read the above and confirm that the above named student is demonstrating Discipline Signed_____________________________________________Date____________
Would you like us to do a FREE anti kidnapping Seminar, Bully-Proof Workshop or demonstration in your classroom? Adult or Women’s self defense seminar in your workplace? We have several topics where we can help! If you would like us to contact you, send an email to [email protected]
Bronze stripe form due the week of Nov 30th
Bronze Merit Stripe Teen students will earn a Bronze Merit Stripe on their belt for demonstrating the
cycle’s life skill at school. Adult students must demonstrate this for a co-worker,
friend, mentor, etc. in their workplace, social groups, church, etc. Thank you for
taking time to help this student improve as a well-rounded martial artist!