KRAV MAGA
REGISTRATION
Registration does not automatically guaranty enrollment.  Classes fill up on a first come first serve basis.  
Spots are only held once payment is received.  Fill out a separate registration for each student.
Session  (March 8 - May 29) *
IMPORTANT:
All students must be at least 14 years old
Student's First Name
Student's Last Name
Student Birthday
MM/DD/YYYY
Parent/Guardian Name
(if student under 18 years old)
Phone number
Email address
* - No classes 3/22, 3/24,
    &  5/24
Krav Maga   - Mondays 8:10pm & Wednesdays 8:50pm
KRAV HOME PAGE          OTHER PROGRAMS
Martial Arts Wellness Center • Burlington, Wisconsin • (262) 758-3378
Email Us • http://www.BlackBeltAcademyInfo.com/krav.html