SPH Safety and Self-Defense Workshop
The School of Public Health Dean's Office is hosting a safety and self-defense workshop on Thursday, Oct. 2, 2014 from 4 PM to 5:30 PM in the SPH-PI Activities Room (Gym).The focus of the workshop is to provide participants with self defense skills to handle potential threats.  If you are interested in attending the self-defense workshop, please register. The  workshop will be presented by Wing Tsun Kwoon http://wingtsunkwoon.com/).  The  workshop is 1.5 hrs long and is case scenario-based.  Comfortable attire is optional. All participants will be required to sign a waiver (included on this registration form) before taking the class.

The event is coordinated by the SPH Office of Student Affairs. Funding is provided by the Dean's Office.

If there are questions, please contact Linda Johnson (ljohnson@uic.edu)
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I would like to attend the safety and self-defense workshop *
Last Name *
First Name *
Email *
Status *
Please let us know if there are any specific case scenarios that you would be interested in learning more about in the session.
Waiver: I acknowledge that participation in any physical activity may carry with it certain risk of injury and/or damage to my personal property for which I voluntarily assume such risk, and hereby agree for myself, my heirs, representatives, and assigns to release the University of Illinois, School of Public Health, its officers, agents, and employees from all claims or liability for any and all trauma, injury, damage, expense, handicap, disability or death which might result from any travel to or from, or my participation in the SPH Group Fitness Program.  I do hereby confirm that in the event of accidental injury, or illness, if I have health and accident insurance, I will submit any medical bills in relation to such injury or illness to my health and accident insurance provider on a primary basis.  In the event I do not have health and accident insurance I hereby certify I will not look to the University of Illinois for payment of medical bills related to accidental injury, or illness.  I do hereby further declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in any Group Fitness activities. I have checked the box below which indicates that I have fully read and understand this Fitness Program Participant Waiver and that I assume all risks incurred by my participation in this fitness program and agree to follow the policies as outlined. *
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