Enquiry / Application Form

If you would like to make enquiries about our Demonstrations

or to book Private Lessons for your staff please complete the form below.

* Denotes required field

Company Name  *                           

Company Contact Details: Title     Mr   Mrs Miss Ms Other

Name  *                                             

Address   *                                        

Post Code                                        

Telephone (Land-line)   *                

Telephone (Mobile)                         

E-Mail Address   *                           

Nature of Enquiry  *                                Self Defence Classes     Corporate Demonstration

Type of Function (Demonstrations Only) 

Date of Function                              

Day(s) on which you would like Private Lessons for your staff

                                                           Monday   Tuesday   Wednesday   Thursday   Friday

Preferred Time ( please specify)   

Choice of Venue                        Our Dojo   Own Venue (please specify) 

For any other comments you wish to make please use the space below