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2. 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.

4. Date: TBD

   1. Self Defense Level 1 Class

   Please check this box to confirm your interest to attend the Level 1 class.

   Level 1 class time is 8 am to 12 pm.

   Location details will be sent in a confirmation email.

   Space is limited and your commitment is very important. 

5. Date: TBD

   1. Self Defense Level 2 Class

   Please check this box to confirm your interest to attend the Level 2 class.

   Level 2 class time is 1 pm to 5 pm.

   Location details will be sent in a confirmation email.

   Space is limited and your commitment is very important. 

7. First Name*
8. Last Name*
10. Address*
12. City*
13. Zip*
15. Email Address*
16. Phone Number*
    (This should be a number where you can be reached on the day of your class if needed.)
17. T-shirt Size*

    T-shirts will be unisex style.

    1. S
    2. M
    3. L
    4. XL
19. 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.

    1. Yes, I understand and will sign the waiver.
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field