Kenner Police Department

Women's Self-Defense Application

Our September Women’s Self-Defense class is now FULL. Please check back for future class dates.

First Name

Middle Name

Last Name

Date Of Birth

Email

Phone Number

Street Address

City

State

Zip Code

Do You Have Any Pre-Existing Injuries? If Yes, Please Describe Below:

Current Fitness Level (Check One)

Beginner Intermediate Advanced