CONCEALED CARRY COURSE REGISTRATION

Information below is for instructor use only.
Fill out the form, print it out, then
• Mail to: Doug Morris, 669 Seven Lakes North, West End, NC 27376
• Include check payable to "Doug Morris" (first check, first served)
• If it's too late to send a check, email a reservation <cchmorris@nc.rr.com>,
and we'll do the paperwork when you get to class.
NAME FOR CERTIFICATE
Name to be addressed
as in class
Mailing Address
Address Line 2
City/State/Zip
Your choice(s) of phone
(home) (work) (cell)
E-Mail
Birth Date
Class Date
(or standby, to be notified of next dates)
EXPERIENCE LEVEL WITH HAND GUNS Choose one.
Novice
Some, but limited
Extensive
Professional
I WILL BRING I DO NOT HAVE
Hand Gun caliber: Hand Gun
Ammo (2 boxes cheap practice ammo) Eye Protection
Eye Protection Ear Protection
Ear Protection
Holster (not required)

READ CAREFULLY
I certify that I am
• A US Citizen or permanent US resident and a legal resident of North Carolina;
• 21 years of age or older (when class starts); and
• Sober, responsible, and eligible for a NC Concealed-Carry Handgun permit. Information
I understand that I must
• Show a government-issued picture ID, and
• Sign a waiver of liability.
I understand that the instructor may refund all/part of his fee and excuse me from the course at his discretion.
Yes, I do.
Please see Information for details. Send any questions, comments, or concerns to
Doug Morris <cchmorris@nc.rr.com> (email preferred) or 673-2570 (after 7pm)