Building Autonomy and Safety for Everybody
Boxing Conditioning with Rosie Dino
Full Name
*
First Name
Last Name
Pronouns
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Any access needs or requests? (Advance notice required from participants; QTL will let you know whether we can accommodate your request within two weeks of request.)
Do you have any prior self defense experience?
*
Yes
No
Are you interested in paid opportunities with BASE?
Yes, I'd like to be a future BASE trainer.
Yes, I'd like to participate in curriculum development.
Maybe, I'd like to learn more and keep in touch.
No, but I have contacts who might be interested.
Which dates do you plan to attend?
July 11
July 18
July 25
Register
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