Registration
This is not just a Seminar. It's A Movement for Women!! Time to Stop being a Victim in your Mind, Body, and your Spirit!!! No Matter what you call it, Rape, Harassment, Stalking, Bullying, Muggings, Hate Crimes, and the list goes on. Violence is Violence, Abuse against your Mind and Body, and your Spirit. NO MORE!! This is a comprehensive self defense training course that will teach you a combination of tactics and street awareness methods that you can use to protect yourself from an assault anytime.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Type*
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City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Are you under the age of 18? If so, an adult must be registered also with you for the seminar. That can be your mother, sister, aunt, or grandmother.
Do you have one specific topic you would like for us to address during the seminar? If so, please add it to the Additional Information box.
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
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Card Expiration Month: *   Exp Year: *
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