Firearms Training Course

Handgun Combatives Course Application Form (Please print and submit with payment)

The undersigned, in consideration of the provision of services by Handgun Combatives LLC (HC), their instructors, employees, representatives and facilities used for training, having perceived, appreciated and assumed the risk inherent to firearms operation, firearms instruction and training, or self-defense instruction and training including but not limited to the possibility of personal or property injury due to accidental discharge, equipment malfunction or failure, ricochet, misunderstanding of instruction or omission or error on the part of instructors and/or students, I do hereby agree as follows:

1. I hereby release HC, any and all HC related instructors and all other persons and organizations associated with HC as well as their affiliates, agents, employees, directors, officers, and members from any and all liability and from any claim whatsoever arising out of any cause whatsoever relating in any way to the HC Training and I hereby agree to indemnify and hold HC harmless from any and all claims, liabilities and expenses, including attorney fees relating in any way to my participation in the HC training.

1. I agree to abide by all rules for participating in HC training including:

1. ALL FIREARMS ARE ALWAYS LOADED.
2. DO NOTPOINTA GUN AT ANYTHING YOU ARE NOT WILLING TO SHOOT, KILL OR DESTROY
3. KEEP YOUR FINGER OUT OF THE TRIGGER GUARD UNTIL YOU ARE PREPARED TO SHOOT.
4. KNOW YOUR BACKSTOP AND BEYOND.
5. FOLLOW ALL INSTRUCTIONAL DIRECTIONS.

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1. I certify the following to be true: I am not a fugitive from justice and I am not under indictment nor have I been convicted of any felony or offense involving possession, use of trafficking in any drug of abuse. I am not drug or alcohol dependent, I am not under adjudication of mental incompetence, not have I been convicted of domestic violence. Initial: ______

1. If any HC employee or any person present at HC training provides transportation in connection with or related to HC training, I agree that such transportation is provided solely as an accommodation and convenience to me and that such transportation is not part of HC training and that HC has not responsibility or liability concerning the provision of such transportation.

Agreed to by:______Date:______

Print Name:______Phone Number:______

Address:______

City and State:______

E-Mail Address:______

Class Enrolling In:______Location:______

Date of class:______Full Tuition Paid:______

Mail check, money or cash to: Handgun Combatives LLC

523 Wilson Park Drive

West Carrollton, OH45449

Due to events of the past, full payment is required when enrolling. NO REFUNDS will be given without due cause 30 days prior to the scheduled course. Please contact us for any questions or concerns regarding this policy.