Resisting Aggression with Defense Application

Address/Title: Address/Title Ms. Mrs. Mr. Dr. Cadet Officer Hon. Rev. Rabbi Pastor

Full Name:

University Affiliation: Student Faculty/Staff

Hokie Passport #:

Email:

Local Address:

Permanent or Office Address:

Local Phone:

Permanent or Office Phone:

Mobile Phone:

The sessions are at the following dates and times:

Request Session: Class 1

Fall 2022 Class: Thursdays 6 pm to 9 pm

• October 27
• November 3
• November 10
• November 17

All four sessions must be attended.