Free Self-Defense Workshop Online Registration Form
Free Self-Defense Workshop For Women, Elders, & Children

Date: Saturday April 29, 2023 from 11-1 PM PST

Location: 8909 Thornton Road #2 Stockton, CA 95209

-Open to all ages, those under 18 will need parent/guardian consent.

-Please bring a water bottle, towel, wear comfortable clothing, and be ready to remove your socks and shoes before the workshop.

-Please be ready to sign a waiver in-person.

-Attendees will receive 1 FREE WEEK of any class at Team CAMA!

-Please inquire about translation services below.

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First & Last Name *
Email
Phone Number *
City of Residence
Age
Those under 18 will need parent/guardian consent and signatures below and on the day of the workshop.
Ethnicity
Sex / Gender Identity
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You will be asked to sign an additional waiver on the day of the workshop.

If you are under 18, please have your parent/guardian sign for you below.

*
Please type your name below to confirm your signature.
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