SELF-DEFENSE SEMINAR registration form for Deaf community
SATURDAY • FEBRUARY 25 • 3PM-6PM
at SSG • 908 E 8th Street, Downtown LA, 90021

REGISTER BY FEBRUARY 21
You will be emailed a reminder before the event which confirms your registration. Clicking "going" on the facebook event page does NOT mean you have registered.

Instruction will be provided in voice and ASL.

WHAT TO BRING
- Work-out clothes with sleeves; we will be practicing on martial arts mats with our shoes off
- Water bottle

Find more info at http://equalaction.org/ or https://www.facebook.com/events/205465896591859/. Contact Steph at svan@equalaction.org.

Full Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Age
Gender Pronoun (examples: "she," "they," "he," your name)
Your answer
Will you need instruction or interpretation in any of the following languages? (If you check "other," we will do our best to find an interpreter in that language and then contact you to let you know.)
Can you tell us about any physical limitations that we should be aware of, such as health conditions or previous injuries?
Your answer
Are there any ways that we can accommodate you? (Please find accessibility information at http://equalaction.org/ and https://www.facebook.com/events/205465896591859/)
Your answer
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