Select the course you would like to attend:

(please make a selection) Pressure Point Control Tactics: 1 day seminar Cost $150.00 Hand-To-Hand Level I: 3 day seminar Cost: $225.00 Hand-To-Hand Level II:  3 day seminar  Cost $225.00 Personal Protection: 1 day seminar Cost $85.00 Self-Defense: 2 Nights Per Week Cost $85.00

Course Date: 

City & State Offered: 

REGISTRATION INFORMATION:

Name: 

Address: 

City: 

State:  AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NB NC ND NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip:

Phone: 

E-mail: 

Please check here if you would like to be made aware of specials and other training classes as they become available in your area.  

AGENCY INFORMATION:

Agency: 

Address: 

City: 

State:  AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NB NC ND NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip:

Phone:    Ext.

Fax: 

METHOD OF PAYMENT:

  Pay at the door.            

  Bill Me (agency P.O. number required) 

Additional Comments:

Classes begin at 8:00 am and conclude at 5:00 pm daily.  All classes are limited in size to insure proper student / teacher ratio.  Space can only be reserved upon receipt of course registration.  In the event of student cancellation within 10 days prior to the class a full refund will be made.  Cancellations made within less then 10 days notice, tuition will be refunded minus $75.00 or the tuition can be credited to another DDS course, alternative course date, or student.