Self-Defense Shooting Registration General InformationName* First Last Your preferred Email address* Mobile Phone*Mailing Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Emergency Contact InformationEmergency Point of Contact*The person to call in event of an emergency First Last Your Relationship to Emergency Point of Contact*Emergency Contact Phone Number*Information for the CourseWhat are your personal expectations for this course?*Physical or Health Conditions we should be aware of?*Do you have any physical or health conditions we should be aware of so that we can maximize your training experience?YesNoPlease provide any information that may be helpful regarding your physical or health considerationsSelect the date you would like to attend*Pick OneJune 22-23July 13-14SDS 1 Package Options* Option 1: Your gun, holsters & ammo (500 rounds) Option 2: Our gun & holsters, your ammo (500 rounds) Option 3: Our gun, holsters & ammo Option Spot Reservation Deposit for Spot ReservationTotal Due Today $0.00