Class Registration Form
If you have any questions, please contact Steve Cammack, Lead Instructor at 815-272-5000 or email at StevenCammack@Yahoo.com.
Full name: (As it appears on your state issued ID or Drivers License)
*
First Name
Middle Name
Last Name
Suffix
Full address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone number:
*
-
Area Code
Phone Number
E-mail:
*
What type of class are you registering for:
*
Illinois Concealed Carry ($150.00)
Private Instruction ($50.00 per hour)
Illinois Conceal Carry Renewal ($75.00)
Class date:
*
-
Month
-
Day
Year
Do you have prior military experience?
*
Yes
No
I agree to the following statement:
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The participant (named above) affirms that they are in no way disqualified from legally owning or possessing a firearm or ammunition. The participant understands that they are taking this class for instructional purposes only and they are fully responsible for their own actions and to follow the laws of jurisdictions they are in or travel to. ASH Firearms Training and its instructors are not liable for any negligence or crimes committed by the participant during class or anytime thereafter.
Register for Class
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