Thank you for your interest in registering for the April 12, 2018 women's self defense class. This class will be held from 6 to 8 p.m. at Safety Town, 1320 Aurora Ave.

* 1. Participant Name (first and last)

* 2. Participant Phone Number

* 3. Participant Email Address

* 4. Participant Age

* 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.