NC Concealed Carry Handgun, Gundamentals Pistol & Shotgundamentals Class Registration Form
Last First Middle (Full)
City:____________________ State: NC Zip: _________
( )Gundamental Pistol $75.00 ( )Gundamental Shotgun $75.00
( )NC Concealed Carry Handgun $100.00 ( )NEW!! Gundamental Rifle $75
See http://www.nrainstructors.org/searchcourse.aspx for NRA student & instructor courses available.
Course Date Requested:____________________________
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. 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 CSA LLC harmless for any accidents or injuries which may occur while in class or at the range. 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.*I affirm that I possess fundamental firearms knowledge regarding safe handling, storage & cleaning prior to attending this class.*
Please Do NOT Bring Your Firearm Into Class.
Please Leave Locked In Car Until Qualifying.
( )INITIAL here to indicate Disclaimer has been Read, Understood and Agreed.
Preregistration & Prepayment Required.No Refunds.
Payment Methods: Cash, Money Order, CC's via PayPal
Email: firstname.lastname@example.org or FAX to: 336.229.5144
Questions: 336.270.9CCW (9229)
Mail To: CCWOFNC
1964 Stoney Creek Church Road
Burlington NC 27217