S.A.P.T. Workshop Registration
Please complete this form to register for one of our upcoming Self Defense Workshops.
NOTE: After submitting this registration form, you will be given a link to the payment page. Payment is required to reserve a space. This link can also be found on our website.
We will accept walk-ins (pay at the door) if the workshop still has space available. The workshops are limited in size to ensure everyone is receiving one-on-one training.
Please complete the questions below for the person ATTENDING the workshop.
If you are a parent submitting this registration for your child, please complete the form using their information and include your information below where requested.
Which Workshop will you be attending?
Saturday, September 29th, Urbandale
Sunday, October 7th, Carroll
Sunday, October 14th, Carroll
Parent/Guardian Information, if person attending is UNDER the age of 18.
If the person attending is under 18, we will need their parent/guardian information. The person will only be contacted in the case of an emergency.
How did you hear about our Sexual Assault Prevention Workshops?
Word of Mouth
If you would like to pay at the door, please select the option below. Please note, a space is not fully reserved until the workshop fee has been paid. If space is still available the day of the event, we will accept walk-ins.
I dont want to lose my spot, I will be paying through the provided link.
I'm not able to commit at this time. I will attempt to pay at the door. I understand this workshop may fill up. If so, I will need to wait and attend a later scheduled workshop.
Send me a copy of my responses.
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