Rape Aggression Defense (RAD) Registration

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Session Fee is $99.

Training site is Edison, NJ

Class Times are for Tuesdays from 6:15pm - 9:15pm.

Please make checks payable and mail to:

Women's Self Defense Institute

518-7 Old Post Road, #234

Edison, NJ 08817

or pay via paypal to wsdi@self-defense-mind-body-spirit.com

Class location will be distributed upon receipt of payment, but no later than 1 week prior to the scheduled class session.

A COMPLETED registration includes the registration form and payment.

Class locations are kept confidential to ensure the safety and privacy of our participants.

RAD Registration Form

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country

Home Phone*
Home Phone*

Cell Phone*
Cell Phone*

Class Dates - Choose a Session:*
Class Dates - Choose a Session:*

How did you hear about our classes?*
How did you hear about our classes?*

Please enter the word that you see below.