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2022 Free Self-Defense Class Sign-up Form

  1. The Frederick Police Department offers Level 1 and Level 2 Self Defense Classes throughout the year. This community program is for Town of Frederick residents and women only. The class is open to women ages 15 and up who have not taken this class in the past. Use this form to be contacted about future courses.

    You only need to attend one Level 1 class, but you must take Level 1 to make it to Level 2!

    Level 1 classes will include valuable classroom-style instruction on awareness and preventative measures before diving into basic physical self-defense techniques.

    Level 2 classes will review situational awareness and dive deeper into hands-on physical self-defense. Participants can do as much as they are comfortable with, so you may attend regardless of your physical ability.

    By signing up here, we will add you to the list and contact you with class information as it becomes available. 

  2. Self Defense Level 1 Class

    Please check this box to confirm your commitment to attend a Level 1 class. Space is limited and your commitment is very important. By signing up here, your contact info will be added to our list and you will be contacted about the details as they are scheduled.

  3. Self Defense Level 2 Class

    Please check this box to confirm your commitment to attend a Level 2 class. You can only check Level 2 if you have done are plan to attend a Level 1 class. Space is limited and your commitment is very important. By signing up here, your contact info will be added to our list and you will be contacted about the details as they are scheduled.

  4. (This should be a number where you can be reached on the day of your class if needed.)
  5. T-shirt Size*
    T-shirts will be unisex style.
  6. Waiver/Release of Liability*
    I understand that I will be asked to sign the waiver/release of liability included below in person at the class. I am prepared to do this in order to participate in the class.
  7. Leave This Blank:

  8. This field is not part of the form submission.