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Uprising - Self Defense
A program designed to help TGNC folx access set-defense items, programs, and resources in Houston. If you're in within a 15 mile radius of our location, you must make pick up arrangements.
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First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Zip Code
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Your answer
Mail or Pick-Up (Must be more than 15 miles away from 77006)
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Mail
Pick-Up
Required
Include address for Mail Order
Your answer
City
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Your answer
State
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Your answer
Gender Identity
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Transgender Female
Transgender Male
Gender Nonbinary
Intersex
Female
Male
Cisgender Woman/Cis Female
Cisgender Man/Cis Male
Other:
To what age category do you belong?
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14-18
19-24
25-34
35-44
45-54
55+
What is your race/ethnicity?
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Black
Native American/Indigenous
Asian
Native Hawaiian/Other Pacific Islander
Hispanic/Latinx
White
2 or more race/ethnicity
What are you in need of?
Self-Defense Item
Self-Defense Programs (i.e. Kick Boxing, Boxing, Karate) - Houston ONLY
Personal Protection Class (i.e. CHL)
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