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photo of Wayne Lanier

Basic CCW/Defensive Pistol Level 1

Training Body, Mind and Warrior Spirit

ACT Personal Defense LLC - Wayne Lanier
Instructor: Wayne Lanier

Fee: $175.00

Date: Wednesday - 11/27/2024
Time: 9:00 AM - 6:00 PM
Duration: 8-9 Hours

Location: ACT Personal Defense, LLC (Eastanollee, GA)

Registration Form

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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.)

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You will log in later using this email and password.

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Billing Address
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Contact Info

How can the Instructor contact you? We can also send you text messages for class-related notifications.

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Emergency Contact Info
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Personal/Background Info

The Instructor will use this to determine your eligiblity.

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Previous Courses

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

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Terms and Conditions

Your information is private and not accessible to anyone at any time, other than the instructor for whose class you are registering. If the instructor determines that you do not meet the requirements, your credit card will be automatically refunded.

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Read our Terms and Conditions

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Read Instructor Policies

Cancellation Policy
We understand life - things unexpectantly change. You can cancel your class registration at any time without penality. We simply ask that you notify us as soon as possible so that we can allow waiting students access to your spot in the class.
Reschedule Policy
 You can reschedule your class either by email or phone at any time. Notify us as soon as possible. 
Refund Policy
We will gladly return 100% of any deposits or class registrations fees for any reason. 
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Read Instructor Waiver Requirements

Waiver

RELEASE, WAIVER, INDEMNIFICATION,

HOLD HARMLESS AND ASSUMPTION OF RISK AGREEMENT

 

Whereas, in consideration of being permitted to attend a course for instruction in firearms, for the instruction in firearms, for the use of premises, and for other goods and valuable considerations, the receipt and sufficiency of which is hereby acknowledges, Undersigned agrees to the following;

                Undersigned agrees to indemnify, hold harmless and defend ACT Personal Defense, LLC (hereinafter referred to as “instructor(s)”), from any and all fault, liabilities, costs expenses, claims, demands, or lawsuits arising out of, related to or connected with: Undersigned; Undersigned’s presence on or use of gun range, buildings, land and premises (“Premises”) and, any and all acts or omissions of Undersigned.

                Undersigned furthermore waives for himself/herself and for his/her executors, personal representatives, administrators, assignees, heirs and any next of kin; any and all rights and claims for damages, loses, demands and any other actions or claims whatsoever, which he/she may have or which may arise against Instructor(s) (including but not limited to the death of the Undersigned and/or any and all injuries, damages or illnesses suffered by Undersigned or Undersigned’s propriety), which may, in any way whatsoever arise out of, be related to or be connected with the course of instruction; the Premises, including any latent defect in the Premises; Undersigned’s presence on or use on said Premises; Undersigned’s property (whether or not entrusted to Instructor(s) ); and the discharge of firearms, Instructor(s) shall not be liable for, and Undersigned, on behalf of himself/herself and on behalf of his/her executors, personal representatives, administrators, assignees, heirs and next of kin, hereby expressly releases the Instructor(s) from  any and all claims and liabilities.

                Undersigned herby expressly assumes the risk of taking part in the course of instruction in firearms and taking part in the activities on the Premises, which include, but are not limited to, instruction in the use of firearms, the discharge of firearms and the firing of live ammunition.

                Undersigned herby acknowledges and agrees that Undersigned has read this instrument and understands its terms and is executing this instrument voluntarily. Undersigned furthermore hereby acknowledges and agrees that he/she has read, understands and will at all times abide by all gun range rules and procedures and any other rules and procedures stated by the instructor(s).

                Undersigned expressly agrees that this instrument is intended to be as broad and inclusive as permitted by law, and that if any provision of this instrument is held invalid or otherwise unenforceable, the enforceability of the remaining provisions shall not be impaired hereby. No remedy and each and every remedy shall be cumulative and shall be in addition to every other remedy now on hereafter existing at law or in equity or by statue or otherwise. The election of anyone or more remedy hereunder by Instructor(s) shall not constitute any waiver of Instructor’s right to pursue other available remedies. This instrument binds the Undersigned and his/her executors, personal representatives, administrators, assignees heirs and next of kin.

 

Signed__________________________________________________ Date______________________________________

 

Print Name___________________________________________ Phone Number_________________________________

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Referral Information (Optional)
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Comments

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

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Payment

Course Fee: $175.00

Add Ons: $0.00

Total: $175.00

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