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Steven A. Crawford
  (816) 728-7360

 
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ISCF FIGHTERS DATABASE




Enrollment Application

All students must complete and submit!

Your card will be charged $100.00
for the First Month fee.
(starter kit not included)


Starter Kit: $165.00

American Jujitsu  MMA Basic Starter Kit:

1. AJJ Shin Guards #SIG2 
 


2. AJJ T-Shirt


3. AJJ Grappling Gloves #FG3
 


4. Mouth Guard  #SHOCK 3

5. Cup #SDCUP 2


6. Gym Bag #BAG4 



Information:
USJA  Membership & Insurance / $40.00 This Insurance is good for one (1) year. By filling this application out and submitting it, you are giving Crawford's MMA the right to charge your credit card/ debit card in the amount of $100.00 for classes, or $165 with Basic Starter Kit or $300 for all three (1st months class fees, basic starter kit and insurance):

Crawford's Mixed Martial Arts
8819 Metcalf Ave
Overland Park, KS 66212



Enrollment Information

For all American Jujitsu classes
*Full Name
*Full Address
*Phone Number
E-Mail Address (if you have one)

Credit Card Information
*Name of Credit Card you will be using? Visa/ MC
*Card Number
*Expiration Date
*SN Number on Back
*Total Amount to be charged $100, $300 or $340
Any Questions? (type here)

For all American Jujitsu classes