WTBA East Coast Instructor Training Camp Registration
How you heard about CPAMMA:

Your Name [Title, First, Last]: (required)

Your Email: (required)

Your Phone Number: (required)

Current Rank: (required)

How many days will you be staying?:
 Thursday Thursday & Friday Thursday-Saturday (additional fee) Thursday-Sunday (additional fee) 

What Are Your Goals?:
 Fitness Weight Loss Competition Earning Rank Self Defense 

Additional Comments: