Her Defence Project Registration
For sessions at Clockhouse Community Centre, Woolwich
Name
*
First Name
Last Name
Email
*
example@example.com
Phone number:
mobile preferred
I confirm that I am 18+
*
Yes
Do you have any injuries or disabilities that you'd like us to be aware of:
*
Yes
No
If yes, please share details below which will only be viewed by your trainer:
I agree to receive important information about the sessions via email (your email will not be used for any other purposes)
*
Yes
Submit
Should be Empty: