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. www.roundkickgym.com 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.
Email address *
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.
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Phone *
Your answer
Which Workshop will you be attending? *
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.
Parent's Name
Your answer
Parent's Phone
Your answer
How did you hear about our Sexual Assault Prevention Workshops? *
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. *
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