Reality-Based Training Instructor Registration

Attendee Name*

First NameLast Name

Personal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Daytime Phone Number*

Please enter a valid phone number.

Email*

example@example.com

POST #*

TYPE N/A IF YOU DO NOT HAVE ONE. DO NOT LEAVE BLANK.

Agency Name

Training Location*

Training Date*

By checking this box, I affirm that I have read and understand the prerequisite requirements for the MSA Ground Control System Instructor Course. I acknowledge that this is not a beginner-level course and is intended for experienced practitioners only. I certify that I possess a strong foundation in wrestling, grappling, Brazilian Jiu-Jitsu (BJJ), Judo, or a similar discipline, and that I have the physical ability and technical background necessary to safely participate in this instructor-level training.I understand that failure to meet these prerequisites may result in removal from the course without refund.

My Products

Contracted Agency

For agencies that contract with MSA for CLEE training.

$150.00 Quantity

Non-Contracted Agency

For agencies that are NOT contracted with MSA for CLEE training.

$300.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.