R.A.D. Self-Defense Course Registration 2026 - June 22, 23, 24

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* 1. Student name:

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* 2. Email:

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* 3. Phone:

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* 4. Address:

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* 5. Date of birth:

DOB

Date

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* 6. Which course are you enrolling in?

June 22, 23, 24 (Monday, Tuesday, Wednesday) (5: 30 p.m. to 9:30 p.m)

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* 7. How did you hear about this event?