Safety Equipment Order Form


The following safety equipment is required by the rank of Low Yellow Belt:

NOTE: As required by our insurance company in order to prevent injury in case your partner makes a mistake, and in order to participate in sparring exercises, this special "foam dipped" safety equipment is for your safety and for the safety of others. This will help you to gain self-confidence through sparring and develop various and proper defense skills (controlled technique with precision, cooperation, proper distance, timing, etc) without fear of injury.

* Boot Guard $29.99
* Gloves $29.99
* Shin Guard $26.99
* Cup and Supporter (men only) $9.99
* Headgear $35.99
* Rib Guard $39.99
* Mouth Guard (Single) $1.99
* Mouth Guard (Single) with case $5.99

MALE

Boot Guard - $29.99
Gloves - $29.99
Shin Guard - $26.99 (XL=add $3.00)
Cup and Supporter - $9.99
Headgear - $35.99
Rib Guard - $39.99
Mouth Guard and case - $5.99
Equipment Bag - $49.99

SUB TOTAL $228.92
TAX 6.5% $14.88
TOTAL $243.80


FEMALE

Boot Guard - $29.99
Gloves - $29.99
Shin Guard - $26.99 (XL=add $3.00)
Headgear - $35.99
Rib Guard - $39.99
Mouth Guard and case - $5.99
Equipment Bag - $49.99

SUB TOTAL $218.93
TAX 6.5% $14.23
TOTAL $233.16


* Please make checks out to UMAC. After you fill out the order form below click on the Send button. Then you may bring your check to your next class. Thank you.

** At the Falls River School As soon as you or your child receives his or her Low Yellow Belt this equipment will be needed for every Wednesday or Thursday class.

Click here for a merchandise listing with size info.

I would like to order:
Name of Student:
Email:
Boot Size:
Gloves Size:
Shin Guard Size:
Cup and Supporter Size (men):   
Headgear Size:
Rib Guard Size:
Mouth Guard Size (Single):
Color:




Students of Daniel Jeans at Cary UMAC please print this form and bring it to your next class.

Thank you!