AMATEUR MARTIAL ASSOCIATION
20-21 Fernhill Mill, Hardman St, Bury, BL9 5BL

AMA MEMBERSHIP LICENCE INSURANCE
FOR ROI CLUB VENUE No.2
Michael Shore

DOB: 7 October 1968
Style: Brazilian Ju Jitsu | Grade: 1st Degree

License: s-insduwjg-2-roi
valid for 365 days from issue date: 03/07/2025
Club No.2: Mick shore / Inner warrior ()
Club No.2 Address: Ard Na Cree , Golden
New Inn rd
Cashel, Tipperary E25 EH75

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INSTRUCTOR
Approved by Peter Allen for AMA UK on 03/07/2025 
IP: 2001:bb6:7f29:8500:6152:5c2a:75a2:d0fc