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