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)

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* 1. Participant Name (first and last)

Participant Phone Number

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* 2. Participant Phone Number

Participant Email Address

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* 3. Participant Email Address

Participant Age

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* 4. Participant Age

Waiver Acknowledgement

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* 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.