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

Waiver Acknowledgement

Question Title

* 5. Waiver Acknowledgement

Click Here for Waivers (PDF) 
Note: This PDF will open in a new window, allowing you to complete your registration in this window.

T