VIP Workshop Sign Up: Empowerment Self-Defense Question Title * 1. Your Name Question Title * 2. Your Student ID # Question Title * 3. I plan to attend: Wednesday, October 14th at 4pm Thursday, October 15th at 11:30am Question Title * 4. How did you hear about us? Faculty/Instructor Social Media Website Friend Other Question Title * 5. Do you need proof of attendance for course credit? Yes No Question Title * 6. If yes, please enter your Instructor's name and Course Code (e.g. Campbell, SOC 101) Instructor Course Code Question Title * 7. Your Email Done