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Self Defense Registration
Please use this form to register for the upcoming self defense class.
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What is your name?
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Your answer
How many people are you RSVPing for?
*
Please specify number of adults and number of children.
Your answer
What is your phone number?
*
Your phone number will only be used for any changes to the event.
Your answer
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This form was created inside of Upper Ohio Valley Sexual Assault Help Center.
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