Exit Women's Self Defense Class Registration Thank you for your interest in registering for the Naperville Police Department's October 9, 2018 women's self defense class. This class will be held from 6 to 9 p.m. at Safety Town, 1320 Aurora Ave. Participant Name (first and last) Question Title * 1. Participant Name (first and last) Participant Phone Number Question Title * 2. Participant Phone Number Participant Email Address Question Title * 3. Participant Email Address Participant Age Question Title * 4. Participant Age 20 years old or younger 21-29 years old 30-39 years old 40-49 years old 50-59 years old 60-69 years old 70 years old or older Waiver Acknowledgement Question Title * 5. Waiver Acknowledgement I acknowledge that I must print, fill out and bring with me BOTH of the waivers contained in the link below (or available at www.naperville.il.us/asafernaper) in order to participate in this class. Click Here for Waivers (PDF) Note: This PDF will open in a new window, allowing you to complete your registration in this window. Register Me For This Class!