Free Self Defense Class Registration

Iannuzzo's Free Self Defense Registration Form

Free Women & Children Self Defense Class
Woman and children will be separated for age appropriate learning.

Dates: (Please choose one)
March 22, 7:15 PM
March 23, 10:15AM
March 24, 8:30AM
March 29, 7:15PM
March 30, 10:15AM

Address
8553 Oswego Rd. (Rt 57)
Baldwinsville, NY 13027
On Rt 57 just 1/4 mile north of the Rt 57 & Rt 31 intersection

Your Name

First
Last

Name of child (1) (if they will be attending)

First
Last

Name of child (2) (if they will be attending)

First
Last

Name of child (3) (if they will be attending)

First
Last

Phone

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Comments or questions

Please choose the date you would like to attend

By submitting this form you will not hold Iannuzzo's Karate School or employees liable for any injuries or damages that could occur.

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