Defensive Tactics Instructor Certification Course

* Required fields

Registration Form

First Name *

Last Name *

Address *

City *, State *

Zip Code *

Phone Number *
555-555-5555

Secondary Number *
555-555-5555

Email *

Date of Birth *
mm/dd/yyyy

Defensive Tactics Instructor Course Participants

Please provide the following additional information.

Are you a sworn officer? *
Yes
No

** Required fields if you are a sworn officer

If yes, which department? **

Rank **

Occupation / Position **

Are you active duty military? *
Yes
No

Are you reserve military? *
Yes
No

** Required fields if you are a active military or reserve military

Branch **

Current duty station **

Occupation / Position **

Previous defensive tactics training *

Certification

You will be certified as a Defensive Tactics Instructor through Force Options and The International Martial Arts Council. Certification is good for two years and must be renewed in order to be recognized by Force Options and IMAC.

Instructors / Seminars

Please list instructors or seminars you are interested in. *

Fees

The Hall of Fame Banquet is an event recognizing martial artist from around the world. This is a black tie event and DT Course participants choosing to take part in this event will be recognized on stage for completing the DT course. This is not required and there will be a seperate graduation ceremony at the end of the DT course.

Defensive Tactics Instructor Course *

$175.00

Add Hall of Fame Banquet and Awards Ceremony

$60.00

Hall of Fame Banquet and Awards Ceremony Only *

$60.00

Additional Banquet Guests (list guests below)

x $60.00

** Required fields if you have additional guests

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