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
Has a friend of yours requested a reservation for the workshop? If so, who?
Your answer
What times work best for your schedule? *
Preferred method to pay the refundable $10 reservation fee? *
For those who choose to use PayPal, please note I will need to subtract PayPal's service fee (less than $1) from the reservation amount upon refund.
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