KCR Firearms Training - Course/Program Registration, Liability and Payment Form.

Course/Program Registration, Liability and Payment Form.

Please complete the following form to register for a course or program, acknowledge the liability agreement and make payment.
** Classes are filled on a first-come, first-served basis, and seats/slots will not be held without the full completion of this e-Form, including successful payment. **
Personal & Contact Information
Full Name

First NameLast Name
Residential Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Take a Clear Photo (FRONT only) of your Driver's License or State issued ID.
Legal Considerations
Are you legally permitted to own/possess a firearm?
Have you ever been convicted of a felony or crime prohibiting ownership?
Are you a U.S. Citizen?
Course Selection, Experience & Goals
Please Select the Course or Program you would like to attend.
Date Reservation
Are you familiar with the basic firearm safety rules?
Have you completed formal firearms training previously?
If Yes, please describe?
List the first three basic firearm safety rules:
What are your training goals?
NRA Affiliation
** You do not have to be an NRA Member to register or attend a course/program. However, if you do not provide your NRA Member # below, you will not receive credit for your certification by the NRA **
Are you an NRA member?
NRA Member #:
(Free Text)
Range & Safety Acknowledgment
I will follow all safety rules and instructor directions at all times.
I understand KCR Firearms is not liable for injury or loss.
I certify that I am legally permitted to handle firearms.
_Waiver & Release of Liability_

By signing below, I acknowledge my liability and affirm that all information provided is true and correct. I understand firearms training involves inherent risks. I release KCR Firearms LLC, its instructors, and its employees from liability for any injuries or damages arising from training. I certify that I am physically and mentally capable of participating in training and understand this waiver.
Signature to Acknowledge Liability
Additional Comments or Concerns
Payment

Payments can ONLY be made through Zelle at this time. Send to Phone #: (941) 527-5098
Should be Empty:

Course/Program Registration, Liability and Payment Form.

Personal & Contact Information

Legal Considerations

Course Selection, Experience & Goals

NRA Affiliation

Range & Safety Acknowledgment

Payment