KL/PJ Private Lesson RSDJKD Registration Form

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Urban Street Defense's Reality Street Defense (JKD) - PRIVATE LESSONS

REGISTRATION FOR (KL/PJ) STUDENTS ONLY
Course Summary:
- Simple & Direct Response Towards All Types of Assaults
- Against Sinlge or Multiple Attackers
- Simplified Ways to use Weapons of Convenience for self-defense
- Reduce Risk of Fatality Against any Assault
- Scenario Based Lessons (All types of situations in reality with STRESS TEST)
- Know your rights to defend yourself under Malaysian Law
Registering for how many person?
Name
If Registering For More than 1 pax, can fill in their names after comma
When would you like to begin your lessons?

MonthDayYear
Date
Let us know which day and time you prefer to have your private lesson.
Age
If Registering For More than 1 pax, can fill in their age after comma
Phone Number

Area CodePhone Number
Package Choice
Any martial arts background? If yes, let us know which martial art & years of practice.
Do you have any physical conditions that we should be aware of before you start training with us?
What do you expect (main expectation) to learn from our training? (Choose only 1)

Other
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Urban Street Defense's Reality Street Defense (JKD) - PRIVATE LESSONS