Class Registration
Sign in to Google to save your progress. Learn more
Legal First & Last Name (this will appear on your certificate) *
Which class are you registering for? *
If you'd like a private lesson, please specify the date.  If you have a special request, please explain what you want to work on.  Otherwise, enter "N/A" *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
City, State  and ZIP *
Phone Number *
Email *
I understand that I will have to pay cash upon arrival. *
Required
Preferred Digital Payment Option, if applicable *
How much recent firearm experience do you have? *
How often do you shoot? *
Do you have a firearm to bring to class? *
What is the Make, Model, and Caliber? (Example; Colt, 1911, 45ACP) *
Why are you taking this course and what do you hope to gain from it? *
Is there anything else we should know, to help ensure you receive high-quality training? *
Emergency Contact Name, Relationship, and Phone Number *
How did you hear about this class?  Who referred you? *
Thank you for registering!  Please enter your email one last time to ensure correct spelling.  You will receive a confirmation email shortly after you click submit.   You will also receive this FREE digital book which has great information on defending yourself and those you love!  We look forward to seeing you in class! *
Captionless Image
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms