BOOK CLUB SHEETStudent Name :

(please write First and Last Name)

Rank : (At time of completion)

Date : (When submitting paperwork)

Graduation Date : (When award will be received)

To Participate in our Reading Program :

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Parent Sign/Date : Instructor Sign/Date :

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Parent Sign/Date : Instructor Sign/Date :

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Parent Sign/Date : Instructor Sign/Date :

SUGGESTED READING

“What to Say When You Talk To Yourself” by Dr. Shad Helmstetter

“The 7 Habits of Highly Effective Teens” by Steve R. Covey

“The Psychology of Winning” by Dr. Dennis Waitley

“The West Point Ways of Leadership” by Col.Larry R. Donnithorne (Ret)

“Body for Life” by Bill Phillips

“The Secret of Inner Strength: My Story” by Chuck Norris with Joe Hyams

“Unlimited Power” by Anthony Robbins

“Power of Focus” by Mark V. Hensen, Jack Canfield, Les Hewitt

MARTIAL ARTS ACADEMY

Read at home or have someone read to you for 20-30 minutes.

Have your parents write the date for each day and write notes on the back for what you have read.

Bring your sheet to class when you have completed 10 marks and you will receive an attitude stripe.

Each student will receive a total of three stripes for completing this sheet.

Upon receipt of your third stripe, this sheet will be collected and you will receive a Book Club Award at the next Graduation.