FIREARMS SAFETY CLASS REGISTRATION FORM

FIREARMS SAFETY CLASS REGISTRATION FORM
One Gun Firearms Training, LLC
PLEASE COMPLETE ALL INFORMATION BELOW

ALL INFORMATION SUBMITIED WILL BE KEPT CONFIDENTIAL
Preferred class date:

MonthDayYear
Date
Name:
(as it appears on your driver's license)
Date of birth:

MonthDayYear
Date
Sex:

MaleFemale
Address:
City/State/Zip Code:
Is it ok to text message you? Phone numbers:
Home:
Cell:
Email Address:
example@example.com
Which is your dominant hand

Left HandedRight HandedAmbidextrous
Contacts

Do you wear:GlassesNone
Do you have any physical impairments that would make training more difficult:
If yes, please explain:
State your prior experience, if any, with firearms:
How did you hear about us?

NRA WebsiteWord of MouthFacebookMy website
Have you ever been convicted of a felony?

YesNo
Other Are you a US Citizen?

YesNo
I AM AWARE I CAN BE EXPELLED FROM THIS COURSE, WITHOUT REFUND, FOR CONDUCT WHICH THE INSTRUCTOR AND/OR

STAFF FEELS ENDANGERS AND/OR DISRUPTS THE CLASS. COURSE FEES ARE NON REFUNDABLE IF CANCELLATION IS LESS

NOTE: UPON APPROVAL, COURSE FEES MAY BE APPLIED TO FUTURE COURSES.
Signature
Date

MonthDayYear
Date
Course Fee
State/ Drivers License Number:
Should be Empty: