TACTICAL DEFENSE REGISTRATION FORM

TACTICAL DEFENSE REGISTRATION FORM
Class Date

MonthDayYear
Class Title
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Birth Date

MonthDayYear
Gender
How did you hear about this course?
Have you purchased a firearm yet?
If yes, are you a first time gun owner?
If no, will you need a firearm to be supplied for you for the class?
Have you ever fired a handgun before?
Would you be interested in further training?
HOW WOULD YOU LIKE YOUR NAME TO APPEAR ON YOUR CERTIFICATE? *NOTE- IT SHOULD BE THE SAME AS WHAT APPEARS ON YOUR DRIVER'S LICENSE.*
Are you under any legal restrictions that would prohibit you from owning or possessing a firearm? (Examples include: felony indictment,/conviction, domestic violence, misdemeanor restraining order, etc)
If yes, please explain.
Should be Empty: