MC's Sporting Arms & Accessories
Manuel Camacho Jr.
1019 E. 10th St.
Newton, Ks. 67114
Kansas Approved Concealed Carry Handgun Course
Pre-Registration for Nov. 16th. 2014
This mandatory 8-hour course will be $95.00 per person Participant Equipment Required: ANY Handgun,
New Ammunition (50rds) NO RELOADED AMMO! Eye&Ear protection, Pens, pencils and notepaper.
NO LIVE AMMO IN THE CLASSROOM! Please print, sign and return this form with a $25.00 deposit
(balance due the day of class) or Full Payment. Deposit is NON-REFUNDABLE.
If this class fills up, circle the class of your choice: 8hr Qualifying Course 2-Day
Special request date:_____________________ Special Needs or Physical Limitations?______________
Pistol Shooting Experience (Circle One): None Limited Experienced
Your signature on this application is considered proof of your acceptance of the following terms and conditions: I agree that by signing this application
that I release MC's Sporting Arms & Accessories and its Trainers of any responsibility for any injury that I may sustain during this course, I certify that
I am at least 21 years of age, a resident of Kansas, a law abiding citizen without a felony record, and that I may legally use and possess firearms,
I understand and agree that the safety of the class depends upon my complete compliance with all firearm safety rules and that I will
abide by all such rules. I understand that my participation may be terminated, without refund, if I do not conduct
myself in a safe and responsible manner.
Signature: ____________________________________ Date: _______________