Civilian Firearms Training Application

Civilian Firearms Training Application

Tequesta Police Department

Civilian Firearms Training Application
Please fill out the form below and sign in order to participate in this event.
Participant Information
Name*

First NameLast Name
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Age*
FL Driver License Number (No dashes)*
MaleFemale
Level of Experience with Firearms*
1- No Experience to 4 - Very Experienced
YesNo
YesNo
If you work in Village of Tequesta, what is the name of business?
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Waiver and Release of Liability
- I fully understand that I will be responsible for talking to a physician before participating in the training.
- I confirm that I am physically and psychologically fit in participating in this training.
- I fully understand the risks involves in this training activity. I understand that this is serious and life-threatening.
- I release this organization for any liabilities like injuries, damages, accidents, or death.
- I release, waive, and indemnify this organization including the employees from any accidents, injuries, damages, or death during the training classes.
- I confirm that I am 21 years and above or in the armed forces and I am legally allowed to own and use a firearm.
- If the instructor believes that I am involved in any suspicious or criminal activities, the instructor has the right to expel the participant.
- I confirmed that all information I entered in this form is true and accurate.
Participant Signature

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Date Signed

MonthDayYear
Date