Women's Self Defense Class Registration
Please fill out the form below to reserve your spot in an upcoming workshop:
Your Email Address:
If this class is for your daughter, what is her age?
Were you referred by a UMA student? If so, who?
What times work best for your schedule?
Preferred method to pay the refundable $10 reservation fee?
I would prefer to mail a check
I would prefer to pay via PayPal
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