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Ephrata Martial Arts
Women's Self Defense & Beginner Striking
Ages 13+ on Wednesday's 7-8pm
8 week fall session Sept 29 - Nov 17
$5 per class or $30 for the session
This self defense and beginner striking class is for teen and adult women to learn basic maneuvers and strikes for self defense situations and overall confidence in their ability. It is recommended to attend all 8 classes if possible as the repetition gives muscle memory and some of the material will build on previous weeks, but if you're only able to attend some of the class dates during the session it will still be beneficial to you! Class size is limited to 12 students.
Each week there will be a simple challenge to help students create good habits and avoid being a target in the first place. At the last class on November 17 all students will be given the opportunity to break a wooden board. Coach Angelina Press will be teaching the classes, and you can read more about her
here
. We do not require any masks at our gym, but we do have a few people who choose to wear them.
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Indicates required field
Student's First & Last Name
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Student's Birth Date
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Attending on
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September 29 --- (0 openings)
October 6 --- (1 opening)
October 13 --- (0 openings)
October 20 --- (0 openings)
October 27 --- (0 openings)
November 3 --- (1 opening)
November 10 --- (0 openings)
November 17 --- (0 openings)
Adult Cell
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Home Phone (if applicable)
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Mother/Guardian (if under 18)
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Father/Guardian (if under 18)
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Mother/Guardian Cell
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Father/Guardian Cell
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Email
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Please notify me about future self defense classes.
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YES
NO
ADDRESS:
Street
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City
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State
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Zip Code
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Is there a specific self defense situation/position you are interested in learning about?
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LIABILITY
I agree not to hold Justin Press, Ephrata Martial Arts, and/or its teachers or associates responsible for any loss, injury, accident, liability, or sickness that might occur while I or my child are participating in classes, competitions, etc. I further state that the student listed on this registration above is in good health and is not restricted from any physical activities such as martial arts, etc.
Please sign that you have read and agree to the above liability statements.
*
Type full name.
GENERAL POLICIES
I agree to keep shoes off the training mats and to always wear shoes in the bathroom. For this class women are welcome to wear any athletic wear that covers the midriff and they're comfortable moving around in, such as a t-shirt and leggings.
MEDIA RELEASE WAIVER
Ephrata Martial Arts is hereby granted permission to take photographs / video of any and all students to use in print or electronic publication. As student or legal guardian of student, I do understand that photos will eventually be removed from the website as pictures from the new classes / teams are put in its place. For internet safety, I understand that Ephrata Martial Arts will only use my name/my child’s name on the internet if I grant them permission (sign below). I also realize that my name/my child’s name may be mentioned in local newspapers should his or her photo be taken and used for that purpose. I am confident that photos of my student will be appropriate and of good taste. I hereby give Ephrata Martial Arts exclusive rights for all media use of my child’s image. This includes all print, non-theatrical, home video, CD-ROM, internet and any other electronic media, advertising, posters, social media and other promotional materials that may be created in the future. Ephrata Martial Arts also has the right to use and intertwine (with or without other materials) in full or portion any photographs / video footage taken as a result of participating in Ephrata Martial Arts classes and events.
*This photo waiver applies to all classes, social events and public events that are associated with
Ephrata Martial Arts
w
hen posting or using pictures/other media forms of the student:
Choose One
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I DO also give permission to Ephrata Martial Arts to use my name/my child's first name and last initial if needed in any internet, social mdedia, print and/or media advertising.
I DO NOT give permission to Ephrata Martial Arts to use my name/my child’s name (partial or full) in any Internet, social media, print and / or media advertising. I understand that I/my child may be asked to leave a specific area of an event where photos or interviews are being taken to ensure that they are not included in media. I also understand that Ephrata Martial Arts is not responsible for other parents and/or bystanders or the general public’s ability to post students' pictures and tag my student's name on the Internet or social media sites.
Signature for Media Release Waiver (of parent/guardian if under 18)
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Type full name.
FINANCIAL AGREEMENT
I agree to pay $5 per class or $30 for the full 8 week session by cash or check, due at the time of the first class. If anything changes after registering, you are sick one week, etc and you will not be able to attend please let us know asap so we can contact those who might be on a waiting list for the class.
Signature for Financial Agreement
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How did you hear about us / who referred you?
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Home
About
Meet the Team
Testimonials
Contact
Classes
Class Schedule
Kids 3.5 - 13
>
3.5 - 4 Tiny Tigers
5 - 8 Little Warriors
8 - 13 Young Dragons
Teens & Adults 13+
Trial Class Waiver
Register for Class
>
3.5-4yo Registration
5-8yo Registration
8-13yo Registration
Teen/Adult Registration
Videos
Gallery