Registration Form

Family Name:

First Name:

Passport / Social security No:

Date of Birth:

K.A.M.I. member #:

Street:

House no:

Suite:

POB:

Town:

State:

Zip:

Country:

e-mail:

Tel Home:

Mob Tel:

Branch:

Current Rank:

Date start of practice:

Dates of ranks:

Yellow

Orange

Green

Blue

Brown

Dan 1

Dan 2

שליחה

Any person can join the K.A.M.I. Association who practices Krav Magen, other martial arts or anyone else.

By the payment I understand that joining of the Association is conditional on adhering to the Articles of the Association.

The annual membership fee is 50$