SHIELD Women's Self Defense Los Angeles

Registration Form

Registration for ALL Group Classes, Private Lesson, Private Lesson, and Corporate Training.
To purchase Gift Certificate, enter student's info and make a note in the Comment section.
Please register early to reserve your space in class.

First Name: *
Last Name: *
Address Street: *

City: *
Zip Code: * (5 digits)
Daytime Phone: *
Email: *
How did you find us: *
Which course are you registering?  *
TEEN Comprehensive After School Program

WEEKLY Intensive - 5 Weeks or 3 Months

TEEN Intensive 4-Day Training
  1 DAY Crash Course
   PRIVATE Lesson
Start training date: *
Comments: any special requests, private groups, companies, gift certificate, etc....please mention below

Cancellation Policy:

Once you begin the course for 5 weeks, 3 months or 6 months, you cannot cancel the course. You can get a refund 21 days prior to class. You can request to reschedule your start date 14 days before the start date of class. 

ONE DAY Crash Course: you can cancel or transfer the class 14 days prior to start date. Inside the 14 days, there is no transfer or refund.

Month to Month - email us before your billing date and we will cancel the membership for you so you will not be billed for the next cycle. 

Gift Certificate is valid for one year. It is fully transferable and it is non-refundable. 


Private lessons are non-refundable. You may reschedule the lesson ONE time only, and it needs to be rescheduled at least 24 hours prior to the scheduled training time.

Multi-pak deal for Private Lessons are non-refundable. 

Private group training: cancellation is allowed if you notify us by email at least 10 days prior to start of class. Rescheduling of date is allowed 7 days in advance. 

Contact Info:

SHIELD Women's Self Defense System

Training Location:

6285 Bristol Parkway
Culver City, CA 90230

Mailing address:
333 Washington Boulevard #234
Marina del Rey, CA 90292

(800) 788-8602