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?  *
SHIELD ALL Inclusive Program

WEEKLY Intensive - 5 Weeks or 3 Months

TEEN Intensive
  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. 


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.