COURSE REGISTRATION FORM

REGISTRATION INFORMATION

AGENCY APPROVAL

Note:It is the Krav Maga Worldwide, Inc. policy that certification courses are provided to law enforcement agencies on an official basis only. By the signature below, I certify that I am the commanding officer, agency lead or training manager, and that all the above names registant(s) are attending the Krav Maga instructor certification course as an official representative of our department. 
Signed (Please use your mouse to sign on the line below) * 🛈
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COURSE AND SEMINAR SELECTION

"New Participant" or "Re-certification" 
(Participants are considered "Re-certification" if they have previously completed the exact same series/topics. If you are unsure if you are eligible for "Re-certification" please contact us at 310-477-9977 ext 104 or forcetraining@kravmaga.com) * 🛈
"New Participant" or "Re-certification" 
(Participants are considered "Re-certification" if they have previously completed the exact same series/topics. If you are unsure if you are eligible for "Re-certification" please contact us at 310-477-9977 ext 104 or forcetraining@kravmaga.com) * 🛈
THIS COURSE HAS BEEN RESCHEDULED FOR AUGUST 10-14, 2020. Please pick the new course "2020 - August 10-14, 2020 - Ontario, OR - Series 1, 3 & 4"
THIS COURSE HAS BEEN RESCHEDULED FOR JULY 27-31, 2020. Please pick the new course "2020 - July 27-31, 2020 - Littleton, CO - Series 1-6 Recertification"
THIS COURSE HAS BEEN RESCHEDULED FOR OCTOBER 10-16, 2020  Please pick the new course "2020 - October 10-16, 2020 - Midland, TX - Series 1-6 (7-days)"
THIS COURSE HAS BEEN RESCHEDULED FOR JULY 13-17, 2020  Please pick the new course "2020 - July 13-17, 2020 - Livonia, MI - Series 1, 4 & 6"
THIS COURSE HAS BEEN RESCHEDULED FOR OCTOBER 12-16, 2020  Please pick the new course "2020 - October 12-16, 2020 - Midland, TX - Series 1-6 Recertification (5 days)"
THIS COURSE HAS BEEN RESCHEDULED FOR SEPTEMBER 19-25, 2020.  Please pick the new course "2020 - September 19-25, 2020 - Greer, SC - Series 1-6 (7-days)"
THIS COURSE HAS BEEN RESCHEDULED FOR SEPTEMBER 21-25, 2020.  Please pick the new course "2020 - September 21-25, 2020 - Greer, SC - Series 1-6 Recertification (5 days)"
This course has been rescheduled. New dates will be available soon.
Please contact us at forcetraining@kravmaga.com if you have any questions.
 

KRAV MAGA INSTRUCTOR T-SHIRT

Additional T-Shirts ($20 each) 🛈
California Sales Tax *

PAYMENT INFORMATION

Payment Method *
Please send an invoice by: *
CHECK PAYMENTS: 
Make Check Payable To:
Krav Maga Worldwide, Inc.

Mail Check To:
Krav Maga Worldwide
Attn: Force Training Division
15233 Ventura Blvd., #100
Sherman Oaks, CA 91403
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Total Due:
$0.00
Check the box and sign below. *
Signature * 🛈
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CONTACT INFORMATION

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