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Registration

Fill in the form to sign up for an open class.

You will be contacted before the start of class to confirm your registration. 

Last Name:

First Name:

Email Address:
 

School Address

Address 1:

Address 2:

Town:

State: Zip:

Phone:
 

Home Address

Address 1:

Address 2:

Town:

State: Zip:

Phone:
 

Please select one class for each registration:

    Basic Physical Defense TBA
 

 

Advanced Self-Defense classes are only available to those who have completed the Basic Physical Defense class.

    Advanced Self-Defense

Comments:
 

 

Rape Aggression Defense Systems
5794 Public Safety
The University of Maine, Orono, ME 04469
Phone: (207) 581-4040 | Fax: (207) 581-1702
E-mail: monica.bushey@umit.maine.edu