Self Defense Course Registration - September 2026

Please note that submitting an application does not guarantee admittance into the program.

Part 1
Please fill out the form below and click 'Submit' when complete.

Part 2
After submitting the form, you will receive an email from University Police closer to the date of the event with further instructions. Please complete the remaining steps to finish your application.

Select Preferred Training Date

First Name

Last Name

Address Line 1

Address Line 2

City

State/Province

Zip

Cell Phone

Home Phone

Email

Date of Birth

Birth State

Select Correct Title

Emergency Contact Name

Emergency Contact Phone