Full Registration Form

Fill out the form below to finalize your registration. You will be contacted with billing information after we receive your final registration

Your full name as you would like it to appear on your certificate.
The name you normally go by, if different from above.
A phone number where I can reach you.
This should be a person who won't be at class with you.
A phone number where I can reach your emergency contact while you're at class.
Please let us know about any medical conditions we should be aware of.
What gun(s) do you plan to shoot in class?
What do you do for a living?
What sort of past training or experience do you have with guns/shooting?
Do you need to rent a gun and gear?
Will you pay in full or pay the 50% deposit?

I have read and agree to abide by Appalachian Tactical Academy, LLC's Rules & Procedures.*