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 ______________________________________