Advanced Women's Self Defense
Event Timing: October 14, 2017 from 8:30 to 11:30 am
Event Address: 18505 W 119th St. , Olathe, KS 66061
Contact us at (913) 715-5535 or

This class is open to those that have already attended one of the Basic Women's Self Defense classes.

Name (First and Last Name)
Your answer
Your answer
Your answer
Phone Number
Your answer
If participant is under 18 years old, name of parent/guardian that will accompany you in the class.
Your answer
Waiver and Media Release Agreement
The day of the class, you will be asked to sign waiver and media release forms prior to class participation. Please click Agree to acknowledge this agreement.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms