EmailMe Form - Self-Defense Shooting and IDPA Class Reservation

Name *

First Last

Email *

Best Contact Phone *

### - ### - ####

I want to enroll in the class beginning on: *

Which prerequisite qualifies you for this class? *

I have completed a Shoot to Live "Safe Shooting" class

I have a concealed carry permit

I have completed a NRA Firearms Safety Course

My handgun safety has been verified by (list name of person in Comments Section below

Other (list in comments section below)

Have you carefully read the required equipment section on the class web page? *

Yes

No

Would you like us to recommend a holster or other piece of equipment for this class? *

Yes

No

What type of firearm wll you be using in class? *

What caliber ammunition will you be using? *

Do you have snap caps? *

Yes

No

Snap caps are required for class. Would you like us to provide them? *

Yes - $19

No

How Did You Hear About Shoot to Live? *

Payment Option *

Visa/Mastercard (by phone)

Check (preferred)

Cash

Comments