Self-Defense for the Soul: Class Registration

Please register for this class using the form below. For more information click here.

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you a Valley JCC Member?*
- Yes
- No
Would you like to make an optional donation to Valley JCC?
This program is free, but any donation is appreciated.
- Yes, I would like to make a donation.
Optional Donation Amount
How did you hear about us?
Total
$0.00
I would like to
- Pay Now by Credit Card
- Mail My Payment By Check
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
To pay by check, after submitting this form please make your check payable to Valley Jewish Community Center Please reference “Self Defense Class Donation” Mail To: Valley Jewish Community Center 18017 Chatsworth St. #217 Granada Hills, CA 91344
Would you like to be added to the Valley JCC Email List?
We'll keep you in the loop about all of our programs.
- Yes, please.
- No, thank you.
Waiver*
- I have carefully read the Valley Jewish Community Center Waiver and Release of Liability and fully understand its contents. By checking the box to the left, I am agreeing to the terms and conditions stated within and acknowledge that this will serve as my electronic signature.
Please click the submit button only once to avoid duplicate charges / submissions. Sometimes it takes a minute or two to process.
Name
This field is for validation purposes and should be left unchanged.

Valley Jewish Community Center

Self-Defense for the Soul: Class Registration

Mailing Address: Valley Jewish Community Center
18017 Chatsworth St. # 217, Granada Hills, CA 91344
818-360-2211 • info@valleyjcc.org

NEWSLETTER SIGN UP

Self-Defense for the Soul: Class Registration

Mailing Address: Valley Jewish Community Center18017 Chatsworth St. # 217, Granada Hills, CA 91344818-360-2211 • info@valleyjcc.org

NEWSLETTER SIGN UP

Mailing Address: Valley Jewish Community Center
18017 Chatsworth St. # 217, Granada Hills, CA 91344
818-360-2211 • info@valleyjcc.org