Shield Up: Youth Self-Defense Registration – Male Ages 18-35 Years | 12pm-1pm JIY Shield Up: Youth Self-Defense Registration (Male) Ages 18-35 Years | 12pm-1pm Your DetailsFull Name* First Last Participant or Parent's Phone Number*Participant or Parent's Email* Date of Birth* Month Day Year Age*Please enter a number from 18 to 35.Do you have any allergies?*YesNoIf yes, please describe your allergies. Emergency ContactEmergency Contact Name* First Last Emergency Contact Phone Number*JIY – Shield Up: Youth Self-Defense* Price: Δ