Register for a Shooting Class

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photo of Keith H

NC Concealed Carry

Don't just get your certificate, get an education.

ATR Training - Keith H
Instructor: Brian W

Fee: $75.00

Date: Saturday - 5/11/2024
Time: 8:30am-6:30pm
Duration: 10 hours. 8 hours classroom. 2 hours range.

Location: Catawba Valley Rifle and Pistol Club

Registration Form

Do you already have an account? Log In

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.

Newsletter
I consent to receive the ShootingClasses.com newsletter via email.
For futher information, please consult the Privacy Policy.
Government Issued ID

This course requires a Government Issued ID for identification.
You will receive an email with further instructions to email, fax, or text a photocopy to the instructor.

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.

Read our Privacy Policy

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Read our Terms and Conditions

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Read Instructor Policies

Cancellation Policy
Refunds are not available for ATR classes unless ATR must cancel the class for some reason.
Classes will be run rain or shine, unless the weather conditions are deemed unsafe.
If class cannot be run due to inedquate number of registered students 14 days prior to class, it may be cancelled.
There may be other potetntial reasonse, but we will make all efforts to accomodate registered students.
If desired, a full refunds will issue a refund via paypal or venmo.  Shootingclasses.com does not have a refund capabililty.
Students can also apply thier registration toward any upcoming similar class for which they are qualified, or may also "bank" the class credit for up to 2 years pending further schedule announcment.  
Reschedule Policy
If classes are not run on the date originally scheduled, they will generally be considered to be cancelled.
If we can offer another date immediately, registered students will have the option to keep thier spot.
If students would like to remain on "the list" for first refusal of the next offering for that class, they will have preference for the next class.
Refund Policy
No Refunds or Reschduling.
Each class demands a large amount of time and effort that goes far beyond the classtime itself.  It is our commitment to run the classes for our registered students, therefore we ask commitment from you as well at the time of registration.

If you are unable to get to the class and date for which you registered, our policies do not allow a reschedule.
On rare occasions of exigent circumstances, in which we have an upcoming similar class with available seats that you are qualified to take, we MAY reach out to accomodate you in one of those classes, but this will be rare and should not be expected.
Other Policy

ATR TRAINING

COURSE REGISTRATION FORM

 

COURSE NAME:   ______________________________________________________________

DATE: _________________________                                                                     PHOTO ID: ________

STUDENT NAME: _________________________________________________GENDER: M   F

ADDRESS: __________________________________________________Zip Code: ___________

EMAIL ADDRESS: _______________________________________________________________

TELEPHONE: (    ____      )    _________   -      ____   _____              DOB                       /                     /

I (the undersigned) ATTEST THAT I AM NOT PROHIBITED BY LAW FROM POSSESSING A FIREARM.

SIGNED: _____________________________________________________________________

Pistol to be used in this course:  Make________________  Model________________    Caliber________

Please complete the following: (Circle)

How much experience do you have firing your gun?         None     Very Little    Some   Enough

                How much Experience loading/unloading your gun?         None     Very Little    Some   Enough

How did you hear about us?  Friend_____ Website_____ Facebook_____ Sign_____ Other______

May we add you to our email mailing list (circle one)?     Y       N  

Photographs, Videos & Recordings (OPTIONAL)

I hereby grant permission to, A Triggered Response, and their representatives to take photographs or videos of me.  I further grant to the producers and representatives the right to reproduce, use, display, or broadcast these images/recordings in any media and release the producers from and against any claims, damages, or liability from or related to the use of these images.

 

________________________________                                                 _______________

           Signature (18 yrs or older)                                                                                           Date

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Read Instructor Waiver Requirements

Waiver

ATR TRAINING

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 use of premises, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Undersigned agrees to the following:                                                                                              Init:_________

Undersigned agrees to indemnify, hold harmless and defend Keith W. Harper (hereinafter referred to as “Instructor”), and ATR TRAINING from any and all fault, liabilities, costs, expenses, claims, demands or lawsuits arising out of related to or connected with: Undersigned’s presence at and/or participation in the course of instruction; the discharge of firearms by Undersigned; Undersigned’s presence on or use of range, buildings, and premises (‘Premises‘); and, any and all acts or omissions of Undersigned.                                        Init:_________

    Undersigned furthermore waives for himself/herself and for his/her executors, personal representatives, administrators, assignees, heirs and next of kin, any and all rights and claims for damages, losses, demands and any other actions or claims whatsoever, which he/she may have or which may arise against Instructor (including but not limited to the death of Undersigned and/or any and all injuries, damages or illnesses suffered by Undersigned  or Undersigned’s property), 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 of said Premises; Undersigned’s property (whether or not entrusted of Instructor); and the  discharge of firearms. Instructor shall not be liable for, and Undersigned, on behalf of himself/herself and on behalf of his/her executor, personal representatives, administrators, assignees, heirs and next of kin, hereby expressly released the Instructor from any and all such claims and liabilities.                                                                                          Init:_________

Undersigned hereby expressly assumes the risk of taking part in the course for 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.                                                                            Init:_________

Undersigned hereby 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 range rules and procedures and any other rules and procedures stated by the Instructor.                                                                                                             Init:_________

Undersigned expressively 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 thereby. No remedy conferred by any of the specific provisions of this instrument is intended to be exclusive of any other remedy, and each and every remedy shall be emulative and shall be in addition to every other remedy now or hereafter existing at law or in equity or by statue or otherwise. The election of any one or more remedy hereunder by the Instructor shall not constitute any waiver of Instructor’s right to pursue other available remedies. This instrument binds Undersigned and his/her executors, personal representatives, administrators, assignees, heirs and next of kin.

        UNDERSIGNED:                                                        Date: _____________

        ________________________________                       _____________________________

         Signature                                                                            Print Name

 

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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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Add Ons

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

Payment

Course Fee: $75.00

Add Ons: $0.00

Total: $75.00

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