CWP Saturday 11-09-2024 0 out of 10 filled and 27 days to goRegistrationPage 2We have a cat on the premises. Lance Corporal Chesty McBoomstick is friendly & vaccinated. If you are allergic to cats, please let us know and we will keep him out of the classroom during your class. Allergic to Cats*I am NOT allergic to cats.I AM allergic to cats. CWP Class* Select an option Whole Class ( $85.00 ) Legal Portion Only (former military/law enforcement – DD-214 or other proof required) ( $55.00 ) Whole Class – RANGE MEMBERS ONLY ( $76.50 ) Check All That Apply To You*Disabled Veteran (VA disability rating – ANY percentage)Retired/Former Military (with DD-214)Active Military – including active reserve (Active duty military members are NOT required to take this class. Email us for more information prior to registering for this class.)Retired Law Enforcement (South Carolina Only)Current Law Enforcement (South Carolina Only)Previous Law Enforcement (Proof of graduation from a state or federal academy that included firearms qualification as a graduation requirement.)None of these SC Resident Criteria*I am a resident of SC. (You have a SC Driver’s License or SC ID Card.)I do not have a South Carolina Driver’s License, but I own “real property” in South Carolina. (Real-property tax form must be completed, signed, and notarized by the Tax Assessor’s office in the county where you own property in SC.)I do not have a South Carolina Driver’s License, but I am an active duty member of the military and stationed in South Carolina.I do not have a South Carolina Driver’s License, but I am the dependent of an active duty military member, and *I AM* listed by name on the active duty member’s orders to SC.None of these – STOP – DO NOT COMPLETE THIS REGISTRATION without speaking to the CWP instructor first! First Name* Middle Name* Last Name* Suffix Maiden Name Other Names Used Sex (Biological sex as listed on your birth certificate, regardless of how you self-identify.)*MaleFemale Race*Asian or Pacific Islander (Chinese – Japanese – Filipino – Korean – Polynesian – Indian – Indonesian – Asian Indian – Samoan – or other Pacific Islander)Black (A person having origins in any of the black racial groups of Africa)American Indian or Alaskan Native (American Indian – Eskimo – or Alaskan Native – or a person having origins in any of the 48 contiguous states of the United States or Alaska who maintains cultural identification through tribal affiliation or community recognition)White (Caucasian – Mexican – Puerto Rican – Cuban – Central or South American – or other Spanish culture or origin – regardless of race) Date Of Birth* Place of Birth* Email* Phone Number* Phone Type*Mobile PhoneHome PhoneThe address on your application MUST match the address on your Driver’s License when you send your application to SLED. If your current address is NOT what is listed on your license, you MUST get that changed on your license before submitting your application to SLED (unless you are military). Residence Address Address Line 1* City* –Select State– Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State or Region* Zip* County*AbbevilleAikenAllendaleAndersonBambergBarnwellBeaufortBerkeleyCalhounCharlestonCherokeeChesterChesterfieldClarendonColletonDarlingtonDillonDorchesterEdgefieldFairfieldFlorenceGeorgetownGreenvilleGreenwoodHamptonHorryJasperKershawLancasterLaurensLeeLexingtonMarionMarlboroMcCormickNewberryOconeeOrangeburgPickensRichlandSaludaSpartanburgSumterUnionWilliamsburgYorkDo Not Live In SC Country of Citizenship* –Select Country– Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D’ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and the McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iraq Iran Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic Of Kosovo Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Alien Number (if applicable) Driver’s License Number* Height* Weight* Eye Color*BlackBlueBrownGrayGreenHazelMaroon Hair Color*BaldBlackBlonde (including Strawberry)BlueBrownGreenGray (or partially Gray)OrangePurplePinkRed (or Auburn)SandyWhiteSocial Security Number will be required on the CWP application paperwork and the FBI fingerprint cards. We will get that information in person during class. Are you prohibited by federal or state laws or court orders from possessing a firearm?*I am not prohibited from possessing firearms.Uh, nevermind…I am not supposed to be around firearms. Do you have a pistol for this class?*I will need to rent a pistol for the class.I will be bringing my own pistol NOT SHARED with another class member.I am ONLY taking the legal portion of class and will not be bringing a pistol. Brand, model, & caliber of pistol you will be using in class. I understand I will need to bring an APPROPRIATE ON THE WAIST strong-side holster FOR THE FIREARM I will be using for the class.*I will have an appropriate holster for the class. (No cross-draw, under the arm, ankle, bra, pocket, or belly-band style holsters for this class.) Sturdy Belt*I understand that I need to wear a STURDY belt that will be able to hold the weight of a fully loaded pistol. Sandhill Shooting Sports DOES NOT provide a belt, even if I am renting a firearm. Emergency Contact (Name)* Emergency Contact Phone Number*If you have any conditions (medical or otherwise) that might require accommodations or of which the instructor/range staff need to be aware, please let us know below. Medical conditions or accommodations DO NOT preclude you from taking this course, but knowing about issues can help the instructor better meet your needs & help you get the most out of the course. *** examples: hearing issues, diabetic, epileptic, asthma, allergic to bees/wasps, heart conditions, problems gripping (arthritis, missing or malformed digits, etc.), problems standing (require wheelchair/cane/walker, etc.), attention issues, prior traumatic experience with firearms or violence, etc. *** We have a cat on-site (super friendly & loves attention). If you are allergic to cats, please let us know! *** Refund Policy *Sandhill Shooting Sports will not give a refund if the student does not show for the registered class or if student cancels less than 7 days prior to the registered class date. We will be happy to cancel with a refund or reschedule to a later class date if requested AT LEAST 7 days prior to the scheduled class date. For documentation purposes, all requests must be sent via email to classes@sandhillshootingsports.com. I understand the refund policy. Payment is required at the time of registration. The next screen is where you will enter your payment information. If your payment is not successful, your registration will be canceled.If you are submitting this form on a mobile device, you will need to switch to LANDSCAPE MODE (wide view) to submit your payment or all the required fields and submit button will not show on the payment page. You may also need to drag the payment window slightly to see the card code field. It may take a few seconds for the payment screen to load. Once your payment has been SUCCESSFULLY processed, you will have automatically been sent 3 emails – 2 from us, and one from the credit card processor. If you do not see these emails, CHECK YOUR SPAM FOLDER. The last email from us has important information about the class. If you did not receive them, then you likely made a typo when entering your email address in the form above, so double check your email field above. If you checked your spam folder and still do not have the final email with details about the class, email us at classes@sandhillshootingsports.com (please don’t call – email is better).