Marysville Division of Police- Self Defense Interest Form
Please complete this form to let MPD know you are interested in future self defense classes
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Name: *
Name of participant
Address: *
Address of participant
Phone# *
Contact number of participant
Email Address: *
Email address of participant
What month works best for you? *
In order to find dates for additional classes, we would like to know which month(s) work best for the community.
Which day(s) of the week work best for you?
Which time frames work best for you?
Any Questions?
List any questions or concerns you may have.
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