Northwest Suburban Tactical Training Center Student Registration

Multi-Student Registration Form

* Department Address (Street/City/State/Zip Code)

* Home Phone Work Phone Fax

* E-mail

* Last * First M.I.

Rank LEA Agency/Military Unit (if applicable)

* Emergency contact * Phone

* Training Requested

* Primary Course Secondary Course

* Date Tuition Amount

* Type of weapon (that you will be bringing to this class)

Payment Method

Cash Amount Enclosed $

Check Enclosed Check Number

Full Name (as it appears on your Credit Card)

TUITION MUST BE PAID IN FULL WITH REGISTRATION

By signing, I understand, represent and agree that:

I am a citizen of the United States of America (Required for all firearms instruction).
My enclosed credentials meet the requirements outlined by Northwest Suburban Tactical Training Center (NWSTTC) and that I must positively identify myself as the same person certified in the application.
Range operations depend on careful control of deadly weapons by each student, and if any time during the course my cooperation is not deemed satisfactory to NWSTTC staff, my participation will be terminated.
I will abide by any and all safety procedures required by NWSTTC, and I agree upon my arrival, to complete, sign and understand a “Release and Indemnification Agreement” releasing NWSTTC from liability for any injury I may sustain or cause during my training.
I will be at least 18 years of age at the time of training and of good moral character with no felony record.
My only purpose for seeking the training, which I have requested NWSTTC to provide me, is so that I may better be prepared to provide lawful service to my employer or in performing lawful acts for my own use.

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