Registration: Self Defense

Registration for Self Defense Workshop: Feb 11, 2023

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Name of Person Paying *

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Phone Number *

Email *

We will be sending an invoice to this email for payment.

This workshop will take place at Pivot Point Martial Arts located at 5515 Davison Rd. #7 Burton, MI 48509 on Saturday, February 11, 2023 from 10:00am-12:00pm. Your payment will ensure that you have your spot reserved. However, your absence at the workshop does not constitute a refund or cancellation of payment. No refunds will be given out for any reason.

Clothing Requirements:
-Hooded Sweatshirt (preferably older one as it may be damaged)
-Loose Fitting Tee-shirt (preferably older one as it may be damaged)
-Tight Fitting Undershirt / Rashguard (to wear under for modesty)
-Exercise Pants / Gi Pants (no sharp parts)

Participant 1 (this may also be the person paying) *

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Select One *

Please tell us who the member is. If this is left blank, you will be charged non-member price. *

Participant 2 *

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Select One *

Please tell us who the member is. If this is left blank, you will be charged non-member price. *

Participant 3 *

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Please tell us who the member is. If this is left blank, you will be charged non-member price. *

Do you have more than 3 participants? *

Yes, I have more than the ones listed above. No, just the ones listed above.

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Registration for Self Defense Workshop: Feb 11, 2023

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