"TARGET MASTER SHOOTING ACADEMY, LLC INTRODUCTION TO DEFENSIVE SHOOTING"
TARGET MASTER SHOOTING ACADEMY, LLC INTRODUCTION TO DEFENSIVE SHOOTING CLASS REGISTRATION FORM (Please PRINT Clearly) CLASS DATE SCHEDULING FOR_______________________________________________________ NAME_____________________________________DATE OF BIRTH _________________SEX_________ STREET ADDRESS_______________________________________________________________________ CITY______________________________________STATE_____________ZIP_______________________ HOME PHONE______________________________OTHER PHONE_______________________________ EMAIL ADDRESS________________________________________________________________________ I understand that providing my Email Address will add me to the OPT-IN Email list so that I may receive updates from TMSA on firearms laws, legislation, industry news, training information and general information pertaining to firearms, training opportunities and special events. LIST PREVIOUS CLASSES TAKEN AND DATES______________________________________________ _________________________________________________________________________________________ IF PAYING BY CREDIT CARD: Circle One: VISA MASTERCARD DISCOVER NAME AS IT APPEARS ON CREDIT CARD ___________________________________________________________________ CREDIT CARD NUMBER _____________________________________________________________AMOUNT: ____________ EXPIRATION DATE ____________________ SIGNATURE _______________________________________________________ BILLING ADDRESS FOR THIS CARD IF DIFFERENT FROM ABOVE: Street _____________________________________________ City________________________ State________ Zip____________ Please check this box if you wish to join the NRA. I, the undersigned, have read and understand the class instruction sheet. I affirm that I am proficient at handling firearms in a safe manner and am familiar with the operation of my specific firearm. I agree to all safety procedures required by TMSA. I understand that class fees are non-refundable. I understand that any safety violation will be grounds for immediate disqualification from this course with no refund of fee. I further agree to sign a statement releasing TMSA and all of it’s agents of any and all responsibility for injury that I may sustain during the course. I understand there is a $50.00 service charge on any bank returned check. I certify that the statements I have made above are true and correct and I agree to all terms and conditions of this class as stated on this registration form and on the class instruction sheet. ________________________________________ ________________________________________ Signature Date DO NOT WRITE BELOW THIS LINE FOR TMSA USE ONLY: Date____________________________ Check/MO #_________________________ Amount $___________ Class Date_______________________________ Comments ______________________________________________________________________________ INSTRUCTIONS FOR ATTENDING THE INTRODUCTION TO DEFENSIVE SHOOTING CLASS 1. Fill out and mail registration form and signed instruction sheet with payment in the amount of $160.00. Make payable to Target Master Shooting Academy, LLC. Allow at least 7 days mailing time. Reservation in class is confirmed only after receipt of registration form and payment. Mail to: Target Master Shooting Academy, LLC P. O. Box 117 Bonner Springs, KS 66012-9998 2. You will need to have made a gun purchase before taking this class. It should be the gun you intend to use for self-defense purposes. The gun should be clean before starting this class. 3. You will need a secure belt and an outside the waistband strong side hip holster with proper retention that properly fits your gun and at least 4 extra magazines. At least two magazines must be carried in a magazine pouch properly secured on your belt. The holster must cover the trigger of the gun and should not collapse when removing the gun. 4. You will need 400 rounds of ammunition for your gun. NO RELOADS PLEASE! Only factory ammunition in factory containers allowed. No armor piercing ammunition allowed under any circumstances. NO exceptions! 5. Eye and ear protection are required. Prescription glasses qualify as eye protection if they cover the eyes sufficiently. Rentals are available from The Bullet Hole if needed. 6. There is a soft drink machine. You may also bring a small cooler with water or soft drinks. Ice is NOT available. No alcoholic beverages are permitted on the premises under any circumstances. Drinks may be taken onto the range provided they are in a plastic bottle with a secure lid. 7. Brimmed hats or visors are strongly recommended but not required. 8. Dress casually and comfortably according to the season. Wear clothing that does not restrict bending, kneeling, leaning, drawing and fast movement. Ladies with long hair consider a ponytail or tie back. When choosing shoes, consider you will be on a smooth concrete surface on the range. Open sandals or shoes with high heels or open toes are not allowed. Shorts are strongly discouraged. Knee pads are recommended but not required. Bring a concealment garment such as a vest, jacket or over-shirt. 9. Bring your range bag with other needs such as wet wipes, paper or cloth towels, lens cleaners for shooting glasses, or whatever you feel you need to be comfortable for the duration. This class is conducted on the range and there is minimal classroom time. 10. REGISTRATION FEE IS NON-REFUNDABLE. If you cannot attend on the date that you have scheduled you must give 2 weeks notice to allow us time to fill the seat. Some rare exceptions can be made for legitimate emergencies such as a death in the family. If you do not call, and you do not show up, your registration fee is automatically forfeited. No refunds are given for this class. DO NOT BE LATE! Class starts promptly at 11:00am. Plan to arrive 15 minutes prior to the start of class. 11. Any safety violation will be grounds for immediate disqualification from this course. 12. If you are a member of The Bullet Hole, bring your membership card with you. If you are not a member, you will need to purchase a one year membership for $21.53 (includes tax) the morning of your class. 13. I understand that providing my Email Address will add me to the OPT-IN Email list so that I may receive \updates from TMSA on firearms laws, legislation, industry news, training information and general information pertaining to firearms, training opportunities and special events. WE DO NOT SHARE OR SELL OUR LIST! I, the undersigned, have read, fully understand, and agree to these instructions. I understand that the registration fee is non-refundable. ____________________________________________ ___________________________ Signature Date ______________________________________________ Print Name