Self Defense Registration

Self Defense Class Registration

September 13, 20, 27
October 4, 11 and 18

Please fill out the form below to register for the self defense class.

Please enter your full name:
Please enter your preferred name:
Please enter your email address:
Please enter your mailing address:
Evening phone number with area code.
How will you be paying?	I will mail a check to Hand To Hand. I will pay in full at the first class.
How did you hear about Hand To Hand?	(Select all that apply; use CTRL-click to select)
Please enter any additional information in the box to the right. Include a description of any prior training you have in self defense or martial arts. Please list any medical conditions or disabilities which might affect or limit your ability to participate in this course. You may also request further information or ask any questions you have about beginning your training at Hand To Hand.