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YAVAPAI FIREARMS ACADEMY, LTD. 1. Please reserve _______________ space(s) for me in the class(es) indicated: Date: ____________________ Date: __________________ Location: _________________ Location: ___________________ Weaponry: ________________ Weaponry: _________________ 2. I enclose my deposit of $300 per space. I will pay the balance of my tuition upon registration. (Please make checks payable to YAVAPAI FIREARMS ACADEMY, LTD.) I understand that if I must cancel out of a class I will receive a full refund if I give at least 45 days notice. If I give less than 45 days notice I will forfeit my deposit. Payment in full is due at the course start. 3. I agree to abide meticulously by all safety procedures required of me and I understand that my instruction may be terminated at any time during the course if I fail to cooperate with safety requirements. I further agree to sign a statement releasing YAVAPAI FIREARMS ACADEMY, LTD. from responsibility for any injury I may sustain during the training program. 4. I agree to sign a sworn statement that I have never been convicted of any crime, at any time, in any jurisdiction. 5. In signing this application, I certify that I will be at least of sufficient legal age at the time of the class to possess the firearm, or will be accompanied by my parent or legal guardian. NAME (Please print) __________________________________________________ Address ____________________________________________________________ City ___________________________ State ________ Zip _________ Telephone __________________________ (Business phone) __________________________ Email __________________________ Make, model and caliber of weapon you plan to bring __________________________________________________ Signature ___________________________________ Please return completed application to: YAVAPAI FIREARMS ACADEMY, LTD. |
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