Permit to Carry, Max Defense, LLC (Hibbing, MN), Sunday, 6/11/2023

Account Information

This is the name that will appear on your class certificates.
(If a certificate is to be used to apply for a concealed weapons permit, input your name as it appears on your driver’s license or Government Issued ID to be used for identification.)

First Name*

Middle Name*

Last Name*

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Email Address*

Confirm Email Address*

Password*

Confirm Password*

Billing Address

Address*

Address 2

City*

State*

ZIP Code*

Contact Info

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Home Phone Number

Mobile Phone Number

Send Me Class Notification Text Messages (SMS)

Emergency Contact Info

Emergency Contact*

Emergency Contact Phone Number*

Personal/Background Info

The Instructor will use this to determine your eligiblity.

Gender*

US Citizen*

I am 18 or older

Proficiency*

How did you hear about ShootingClasses.com?

Background*

Civilian Military Former Military Law Enforcement Former Law Enforcement Instructor First Responder (Fire / EMS) Gov’t Employee / Contractor

Previous Courses

If you have previous experience, it can help the Instructor make a better decision about your eligibility.

Terms and Conditions

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I have read and agree to the ShootingClasses.com Terms and Conditions

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Cancellation Policy
Students are required to cancel at least 48 hours in advance of a class date in order to receive a full refund, less 9% fee for credit card payments. Classes cancelled less than 48 hours before the class will not be refunded.

Reschedule Policy
You may reschedule for a new class for no additional fee in lieu of cancellations.

Refund Policy
Classes cancelled 48 hours before class will be fully refunded less 9% for credit card payments. Classes cancelled less than 48 hours before the class will not be refunded.

I have read and agree to the Instructor’s Class Policies

Read Instructor Waiver Requirements

Waiver

RELEASE AND WAIVER OF LIABILITY

The undersigned acknowledges that the reaction to, possession of, and/or use of firearms is potentially
dangerous, and involves risk of serious personal injury, death, psychological trauma, and/or other personal
and financial liability. The undersigned agrees to assume all risk and waives any and all claims of
liability for personal injury, death, psychological trauma, and/or other personal or financial loss.

I have read and agree to the Instructor’s Waiver Requirements

Referral Information (Optional)

How did you hear about this instructor or this class?

Name of the person or service that referred you

Comments

Please let the instructor know any medical conditions, handicaps, or special needs the instructor should be aware of.

Additional comments for the instructor

Add Ons

The instructor offers these additional services to enhance your learning experience. Note: Add Ons are not subject to discounts.

Concealed Carry and Home Defense Book $20.00
Firearm and ammunition rental for class use Only $10.00
3 ply soft cotton mask with adjustable nose piece. $8.00

Payment

Course Fee: $100.00

Add Ons: $0.00

Total: $100.00

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