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First & Last name (Couples can share form)

full mailing address

phone number

email address for confirmation

emergency contact- Full Name & Phone number

Class interested in :

Date of class interested in

shooting experience - other classes taken

STATEMENT OF RESPONSIBILITY: I acknowledge that the information contained in this course does not constitute legal advise and that laws change. It is my responsibility to stay current in the knowledge concerning firearms ownership, the laws concerning open carry & conceal carry of this state and laws in other states I may travel to. Information in this class is not all encompassing and does not cover every contingency. I understand that it is my responsibility to seek and obtain further training and to practice with my firearm so as to have more than just basic knowledge/skills needed to employ and the use of possible deadly force in a last resort situation. I understand that it is my responsibility to handle firearms safely and proficiently so that I do not harm myself or others due to ignorance or lack of knowledge/skills. I have read and understand all above info. my typed name constitutes a signature and full agreement.

I will pay for class (refund only if cancel 48hrs advance or used towards another class)

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Thank you! You will received a confirmation the Thursday before your class. If already past that then conf. will be sent shortly after your registration received.

In order to get CCH you must be •NC Resident, at least 21 years old at the time of the application •A United States citizen •A resident of North Carolina for 30 days preceding the filing of the application •The applicant must not suffer from a physical or mental infirmity that would prevent the safe handling of a handgun In addition, you must not have had any felony convictions or convictions of certain misdemeanor crimes. You can not have any convictions of an impaired driving offense in the three years prior to the date of application.

**(email confirmation will be sent the Thursday or Friday before class with all details.)**

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