COURSE REGISTRATION FORM

COURSE AND SEMINAR SELECTION

Course 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 ($895)

Re-certification ($695)

"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 ($925)

Re-certification ($725)

COURSE NOT AVAILABLE: PLEASE CONTACT US AT FORCETRAINING@KRAVMAGA.COM OR 310-477-9977, Ext. 104

THIS COURSE HAS BEEN RESCHEDULED FOR SEPTEMBER 23-27, 2024. Please pick the new course "2024 - September 23-27, 2024 - Hoffman Estates, IL - Series 1, 2 & 4"

COURSE FULL - Please contact forcetraining@kravmaga.com to register and/or be added to the waitlist.

COURSE NOT AVAILABLE: This course has been rescheduled. New dates will be available soon.

Please contact us at forcetraining@kravmaga.com or 310-477-9977, Ext. 104 if you have any questions.

REGISTRATION INFORMATION

Participant Name *

Title/ Rank *

Agency Name *

Agency Address *

City *

State *

Zip Code/ Postal Code *

Phone Number *

Email Address
(Course confirmation and correspondence will be sent to this address.) *

KRAV MAGA INSTRUCTOR T-SHIRT

One black T-shirt is included with each CERTIFICATION COURSE. *

Additional T-Shirts ($25 each) 🛈

	OD Green
	Tan
	Black
	Coyote Brown

Size

California Sales Tax *

9.50%

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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Name *

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Date * +

Additional Participants

	Participant Name	Participant Rank	Participant Email Address
Additional Participant 1	Participant Name	Participant Rank	Participant Email Address
Additional Participant 2	Participant Name	Participant Rank	Participant Email Address
Additional Participant 3	Participant Name	Participant Rank	Participant Email Address
Additional Participant 4	Participant Name	Participant Rank	Participant Email Address
Additional Participant 5	Participant Name	Participant Rank	Participant Email Address

KMW ONLINE TRAINING ACADEMY

The Defensive Tactics Training - Level 1 online Academy course is a great resource for refresher training
and updated information. This course is designed to provide basic principles and techniques of the
Krav Maga Worldwide Force Training Division law enforcement program.

Course curriculum includes:
1) personal weapons, 2) self-defense, 3) defenses against handgun threats, 4) weapon retention, 5)
defenses against edged weapon attacks, 6) arrest & control, and 7) training drills.

KMWFTD Certified Instructors receive a special discount off the course price, PLUS bonus access to
the Core Krav Maga 1 and Core Krav Maga 2 online courses: $600 value for $99 (2-year access)

For additional information visit www.kravmagaworldwideacademy.com/FTD

KMW FORCE TRAINING DIVISION ONLINE ACADEMY $99 (2-year access)

I would like to add access to the KMW FTD Online Academy

PAYMENT INFORMATION

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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

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CONTACT INFORMATION

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