Concealed Carry Registration Form

Classes*
Concealed Carry

You will receive a confirmation email and an email with detailed information.
Student E-mail*
example@example.com (Yahoo addresses have been undeliverable when I send information. Please use a non Yahoo address.
Student Name*

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Additional Comments
I would like to be informed by email about other classes, blog posts, etc.

Yes
I understand that the use of firearms is inherently dangerous and that any unsafe use of them could result in death or serious bodily harm. I Understand I Am Not To Bring ANY Firearms Into Class. I Understand I Am to Leave All Firearms LOCKED In My Vehicle Until Directed to Retrieve for Inspection & Qualification. As a prerequisite to enrollment, I agree to follow all safety rules set forth by my Instructor and that my willful disregard of them will result in my dismissal from class, without reimbursement of my tuition. I will not use drugs or alcohol preceding or during class. I further agree to hold Richard Miller, Wayne Perkins, Freedom Range/ CSA LLC (Competent To Carry) and my respective instructor blameless for any accidents or injuries or transmission of infectious disease which may occur while in class or at the range . I understand if I provide my own equipment it must be inspected and approved by a Range Safety Officer. If deemed unacceptable for qualification we reserve the right to provide a substitute qualification firearm at no additional expense. I understand weather-appropriate range attire is required. NO Flip Flops, Tube Tops/ Low Cut Shirts Or Excessive Fingernails.Eye & Ear Protection Are Required. Hats Are Optional But Suggested. I agree to report any safety violations that I may witness to my Instructor immediately so that we can take immediate action to insure the safety of other students. We Reserve The Right to Refuse Service To Anyone At Anytime (Found To Be Unsafe). We Strive to Train Responsible, Law Abiding Eligible Citizens in Firearms Safety, Proficiency & Relevant Laws. *For NC CCH Classes. I further affirm that I will abide by fundamental firearms principles regarding safe handling. *Please Do NOT Bring Your Firearm Into Class. Please Leave Locked In Car Until Qualifying.

Agree
You will receive an email with details including time and date.
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Concealed Carry

You will receive an email with details including time and date.