Registration Form

Registration Form

9/13/2025 Women's Self Defense Class
Full Name*

First NameLast Name
Phone Number*
E-mail
example@example.com
Will you be 21 or older on 9/13/2025?

YesNo
How did you hear about us?*
Registration is complete after this form is submitted and $18.00 payment is successful via Venmo. Please complete both steps to reserve your spot in class!

Spots are limited! Once the class is full, this form will be closed.

*By submitting this form, you acknowledge that participation is voluntary and we are not liable in any way shape or form, for anything at all whatsoever.
Should be Empty: