ARM THE GIRLS Campaign Self-Defense Courses

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This is to solidify our roster for the Self-Defense Courses Official Launch! Thank you so much everyone for your patience, we are working hard to make this happen and will get everything up and running in the next couple of days!

If you have any questions/comments/concerns, feel free to contact aika@richmondsf.org

Thank you!

-Aika Eden

Name *

Age *

18 years old or younger

19-24 Years Old

25-34 Years Old

35-44 Years Old

45-54 Years Old

54-64 Years Old

65-74 Years Old

75 Years or Older

Other:

Ethnicity (Pls select ALL that apply) *

Black / African American

Asian / East, South East, West Asian

Pacific Islander

Latin / Chicanx / Latin American

Native / Indigenous

White / Caucasian

Required

Ethnicity - Please specify your ethnic background. Example: Honduran, Mexican, Samoan and Black, Place of Birth, etc...

What best describes your Gender Identity and Expression? Select All That Apply. *

Transgender Woman

Transsexual

Non Binary

Gender Non Conforming

Queer Femme

Female / Assigned Female at Birth

Required

Do any of the following experiences currently or formerly apply to you?

I am a current / former sex worker

I am a currently / formerly undocumented US resident

I have a disability

I am formerly incarcerated

I do not have access to covid stimulus funds

I do not have access to unemployment

None of the above

Will you be able to attend the first days instruction (31th of July)?

Yes

Maybe

Clear selection

Will you be able to commit and complete each course 11am-12pm each Saturday? (12 week course, up until the 23th of October)

Yes

Other:

Clear selection

If not, which day(s) won't you be able to make it?

Are there any accessibility needs that you have?

Email Address

Phone Number

Do you prefer Email or Text?

Text

Clear selection

Do you need any assistance with transportation?

Yes

Clear selection

If so, what is a good address to pick you up from?

Social Media Handles (Instagram, Facebook

Submit

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