Teen Self Defense Workshop
You must attend a high school in Coral Springs and be in grades 11 or 12 to join this workshop. If you are under 18, a parent or guardian must complete this form.
Student Name
*
Students School Grade
*
11
12
Students High School
*
Please Select
Coral Springs High
Coral Glades
JPT
MSD
Charter
Other
Students High School
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian E-mail Address
*
Parent/Guardian Contact Number
*
Add the best number to contact you.
Format: 000-000-0000.
Submit
Should be Empty: