Marysville Division of Police- Self Defense Interest Form
Please complete this form to let MPD know you are interested in future self defense classes
Name: *
Name of participant
Your answer
Address: *
Address of participant
Your answer
Phone# *
Contact number of participant
Your answer
Email Address: *
Email address of participant
Your answer
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.
Required
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.
Your answer
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