Crime Prevention Program Request

The UGA Police Crime Prevention provides classes to sponsoring departments on an as-needed/as-available basis. This request can be made by any sponsor easily via this request page. Fill out the form below to submit your request.

Program Requested
Requested Location:
* Personal Safety classes must be taught in a place with adequate space for self-defense and associated mats.
Requested Time:
Requested Date:
Number of People Attending:
Contact Name:
Contact Number:
Email Address:

TERMS and CONDITIONS


I AGREE

By typing my name in this box, I certify that I have
completed all the Required Fields in this form, and that I Agree with the Terms Outlined:

E-Signature: