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Watch the Class Wpplication form
APPLY ON-LINE FOR Krav Maga Studio
Please fill in the blank spaces below.
(*)
Blank spaces marked with an asterisk
(*)
are required to be filled.
Family Name
(*)
First Name:
(*)
Sex
(*)
:
None
Male
Female
Date of birth
(*)
:
YYYY/MM/DD
For example, if you were born in March 10th of 1975, please fill the blank as 1975/03/10
Student :
If you are a student, please choose "student"
None
student
E-mail address
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:
If you don't want e-mail about seminar or events from Krav Maga Japan, please check here.
Type of e-mail address
(*)
:
None
PC
cell phone
Telephone number :
Cell phone number :
Fax :
Address in Japan
Zip code
(*)
:
Street
(*)
:
City
(*)
:
Prefecture
(*)
:
How to know Krav Maga
(*)
:
None
Magazine
Homepage
TV
by Friends
Others
Detail of how to know :
Experience of martial arts :
if you have any, please write here.
Detail of how to know :
Please fill in the blank below with the time, date and studio you would like to visit and other thing you would like to ask us.
Please refer to the class schedule below to make sure when you visit the studio.
Schedule of Ichigaya Studio
Schedule of Aoyama Studio