Contact Information

Full Name *

Email Address *

Phone Number *

Municipality / City *

Participant Information

Age Group *
Please select...Under 1818–2425–3435–4445–5455+

Which best describes you? *
Please select...General PublicSecurity ProfessionalPrivate InvestigatorHealthcare ProfessionalEmergency ServicesEducatorSupervisor / ManagerStudentRetiredOther

Which PRCP training would you like to attend? *
Please select...Level 1 – Foundations of Protective ResponseLevel 2 – Control & Stabilization ApplicationsLevel 3 – Operational ControlUnsure / Looking for Guidance

Please note: PRCP is a progressive training program. Participants must successfully complete the required prerequisite levels before advancing. If you are unsure which level is appropriate, select “Unsure / Looking for Guidance.”

Have you previously completed PRCP training with Huronia Goju-Ryu? *
Please select...NoPRCP Level 1PRCP Levels 1 and 2

Training Objectives

Why are you interested in PRCP? *

What do you hope to gain from this training? *

Previous Experience

Please describe any previous training, certifications, or professional experience relevant to PRCP. If none, enter "None". *

Training Preferences

Preferred Training Format *
Please select...Public Group TrainingPrivate Group TrainingWorkplace / Corporate TrainingOne-on-One TrainingUnsure / Looking for Guidance

Which training schedule best suits you? *
Please select...Weekday MorningsWeekday AfternoonsWeekday EveningsSaturdaysSundaysWeekdays and WeekendsFlexible / Open to Options

Participant Statement

In your own words, what do you believe is the purpose of protective response training? *

Is there anything else you would like us to know about your goals, experience, or interest in PRCP? If not, enter N/A. *

How Did You Hear About PRCP?

How did you first hear about the Protective Response and Control Program? *

Please select...FacebookInstagramHuronia Goju-Ryu WebsiteGoogle SearchReferral from a Friend or Family MemberExisting Huronia Goju-Ryu StudentCommunity EventWorkplaceOther

If you selected "Other," please tell us how you heard about PRCP. Otherwise, leave this field blank.

Registration Acknowledgement

I consent to Huronia Goju-Ryu contacting me regarding my registration, upcoming training opportunities, course scheduling, and related program information.

I understand that submission of this registration form does not guarantee enrollment, acceptance, certification, or placement in a specific course.

I certify that the information provided in this registration form is true and complete to the best of my knowledge.