Name *

First Name

Last Name

Phone Number *

(###)

###

####

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Legal Restrictions *

Have you ever been convicted of a felony, been considered a "prohibited person" under federal or state law to be in possession of a firearm, or been denied the purchase of a firearm or otherwise have any legal reasons that would prohibit you from being in possession of a firearm?

Yes

No

Experience with Guns *

How would you describe your experience level with firearms on a scale of 1-5?

New to shooting, never fired a gun

Limited experience

Know how to load, unload, shoot, and safely handle firearms without supervision or assistance.

Experienced, safe, and comfortable shooting accurately

Very experienced

Hand Dominance *

Are you right handed, left handed, or ambidextrous?

Right handed

Left handed

Ambidextrous

Comfort Level *

How would you describe your comfort level around firearms on a scale of 1-5? 1 being very uncomfortable, 5 being very comfortable

1

2

3

4

5

Florida Concealed Weapon or Firearm License

Are you interested in obtaining a Florida Concealed Weapon or Firearm License?

Yes

No

I already have it

Have not decided if I want it yet

Children and Unauthorized Person

Do you have minor children or other non-authorized persons living with you that should not have unsupervised access to a firearm?

Yes

No

Prior Training

Have you been professionally trained by a certified firearms instructor on the skills listed below: Please check all boxes that apply.

Firearm Safety

Range Rules, Etiquette, and Commands

Understanding of the Components of a Semi-Automatic Handgun

Understanding of the Firing Sequence and How a Semi-Automatic Handgun Functions

Ammunition, Identification, Selection, and Storage

Safe Handling and Operation

Loading, Unloading, and Malfunction Clearing

Determining Eye Dominance

The Fundamentals of Shooting

Drawing a Handgun from a Holster