Registration Form

To order by phone please call us at 714.701.9918 to reserve your class. To order by fax or mail please print this form, fill it out, then fax it to 714.777.9318, or you may mail it to our office. Thank you!

Name:
Phone:
Address:
City:
State:
Zip:
Fax:
Email:
Occupation:
Age:

DESIRED COURSES: (check those that apply)

1911 A1 Armorer^*
870 Armorer^*
Advanced 1911 Reliability^*
Advanced Carbine
Advanced Live Fire Entry
Advanced Long Range Rifle^*
Advanced Pistol - Low Light & Night Shooting
Advanced Pistol, Carbine & Scenarios⁺^*
Advanced Scenarios^*
Advanced Shotgun
B.S.I.S. 8 Hour Annual Education⁺
B.S.I.S. Continuing Education Course
Basic Recreational Handgun⁺^*
California Baton Permit and Chemical Irritant
California Exposed Firearm Permit - Open Carry
California Guard Card - Powers To Arrest⁺^*
CCW California Concealed Carry Weapon Course^*
CCW California Concealed Carry Weapon Renewal Course^*
CCW Night Shoot
General Carbine
General Handgun
General Rifle
General Shotgun
Glock Armorer Course^*
Gunsite - 260^*
Gunsite - Carbine 223^*
Gunsite - SureFire - Advanced 40 Hour Instructor Course^*
Impact Weapons^*
J. Stafford Executive Personal Defense
Ladies Pistol and Self Defense
Live Fire Entry
Long Range Rifle^*
M16 Armorer Course^*
Murphy's SPEC 4 Day Advanced Pistol - Gunsite
N.R.A. Instructor Course - Pistol and Personal Protection^*
N.R.A. Instructor Course - Rifle^*
N.R.A. Instructor Course - Shotgun^*
Pistol - Shotgun - Advanced Skills - Night Shoot^*
Pistol Night Operations
Revolver
Shotgun Night Operations
Surefire Institute - Low Light Instructor Course^*
Tactical Driving
Tactical Handgun
Tactical Shotgun
Utah - Florida Concealed Carry Weapons
Other:

Date I Will Attend:

PAYMENT METHOD:
    Check #
    Money Order
    I Will Send By Mail

Credit Card

Card Type:	Visa Master Card American Express Discover
Card Number:
Name As It Appears On Card:
Expiration Date (mm/yy):

Note: A $50.00 non-refundable deposit will reserve your spot in the class. If you are unable to attend, FTA requires a 3 DAY advanced notice to transfer your deposit towards a future class.

AMOUNT

Note: Full payment 10 days prior to class, earns a 10% discount!*

* Please note there is no discount available for classes marked with *
+ Please note only full course tuition payments are accepted for classes marked with +

By signing this paper you are acknowledging that you understand that the proper operation of a firearms training class depends on the careful control of a deadly weapon and such control depends on me and my classmates' wholehearted cooperation of the F.T.A. safe gun handling practices. Further, I understand that my participation in the clinic may be terminated at any time during the course if my cooperation is not deemed satisfactory by the F.T.A. representative. I agree to abide meticulously by any and all safety procedures required. I further agree to sign a statement releasing the F.T.A. and it's official representatives from responsibility for any injury that I may sustain during the training program. In signing this application, I certify that I will be at least eighteen years of age at the time of the class or will be sixteen and accompanied by my parent or legal guardian. I am aware, acknowledge and authorize F.T.A. to deduct the above amount from my credit card plus a two percent surcharge.

Please make checks payable to Firearms Training Associates. Send payment and this form to P.O. Box 554, Yorba Linda, CA 92885-0554

Do you agree with the terms and conditions above?
Yes
No

Date (mm/dd/yy):

Disclaimer -- Firearms Training Associates is an instructional school of defensive shooting techniques. We have no affiliation with, nor do we promote or encourage, any subversive or quasi-subversive entities or acts against the United States of America or against the American People, inside or outside of U.S. borders. Any and all instruction and training conducted by Firearms Training Associates are done in accordance with Federal, State and Local Laws. Firearms Training Associates does not and will not train any foreign or domestic entity(ies) that could pose a threat to -- or has denounced -- the United States of America.

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Registration Form