Use this form to register yourself for the Self Defense class. You can also register by email by sending your name, email address/phone number and your method of payment to James.

Note that you still need to send payment after registering for the course. This page outlines how you can pay for the course, by giving or mailing your payment to a Karen Shank Foundation member, online via Interac or Visa (using Paypal).

Thanks for your support!


Name:  

Email:    

Phone:  

Method of Payment:

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If you have any comments about our event, please write them below.