Crash Course Women Self-Defense Registration Form

Youtube
CRASH COURSE FOR Urban Street Defense's Women's Reality Self-Defense

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
This crash course requires a minimum of 4 participants. May I know how many individuals you are registering?
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 group lesson.
Age
If Registering For More than 1 pax, can fill in their age after comma
Phone Number

Area CodePhone Number
Package Choice
Does anyone from your group have any physical conditions that we should be aware?
What do you expect (main expectation) to learn from our training? (Choose only 1)

Other
Please read our full Terms & Conditions before submission of form:

Click here to read our Terms & Conditions
Signature
Please verify that you are human
Should be Empty:

CRASH COURSE FOR Urban Street Defense's Women's Reality Self-Defense