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Self Defense for Women & Teens
Learn simple, effective and practicalreality-based techniques and tactics for
every woman’s personal protection intoday’s modern world, taught by Stephen Doherty, Masters Level
7th Degree Black Belt with 43 years of Martial Arts experience.
7-Week Program starts Nov. 7:Tuesdays, 7-8:30pm
$105/members; $140/non-membersMinimum 8 participants;
maximum 18
To find out more, join us for:
Self Defense for Women & Teens
Orientation NightTuesday, Oct. 24 • 7-8pm
presented by Stephen Doherty
Self Defense for Women & Teens
Learn simple, effective and practicalreality-based techniques and tactics
for every woman’s personal protectionin today’s modern world, taught by
Stephen Doherty, Masters Level 7th Degree Black Belt with
43 years of Martial Arts experience.
7-Week Program starts Nov. 7:Tuesdays, 7-8:30pm
$105/members; $140/non-membersMinimum 8 participants;
maximum 18
To find out more, join us for:
Self Defense for Women & Teens
Orientation NightTuesday, Oct. 24 • 7-8pm
presented by Stephen Doherty
Registration Form - Kingsbury Club Self Defense
Name ____________________________________________________Age (if under 18) __________________________________
Address ______________________________________________________________________________________________________
Phone ____________________________________________________Email ____________________________________________
Emergency Contact__________________________________________Phone ____________________________________________
Membership Type: ❏ All Inclusive ❏ Other Member ❏ Non-Member
Payment Method: ❏ House Charge ❏ Check
❏ Credit Card Type/Card Number______________________________________Exp.Date ____________
The Kingsbury Club & Spa reserves the right to photograph program participants for publicity purposes, in print or electronic media.
Participant’s Signature: ______________________________________________Date ______________________________________
Parent’s SIgnature: __________________________________________________Date ______________________________________