Please highlight the form below and print it; bring to class filled out.
TEXAS CONCEALED HANGUN CLASS
ENROLLMENT FORM
Name ____________________________________________________________________________________
First Middle Initial Last
Address ____________________________________________________________________________________
Physical City Zip Code
TX DL# ____________________________ DOB (if not 21) ______________________
Email __________________________________________________________________
Phones __ __ __- __ __ __ -__ __ __ __ Hm or Wrk __ __ __-__ __ __-__ __ __ __Cell
All contact numbers are required for enrollment
(Deposit?) Amount Paid $___________ Balance $ ___________ (this amount to be paid at class)
Cash only accepted at class time! No exceptions-thank you.
Cash __ Check # __ __ __ __ __ Credit Card __ Visa __ Master Card __ AMEX __ Discover __ Other
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ EXP __/__ CVV __ __ __ __ (Four on Front on AMEX) Billing Zip __ __ __ __ __
Waiver - Texas Penal Code holds Certified CHL Instructors exempt from lawsuits for teaching the criteria established by the TX DPS for certification of individuals to carry a concealed handgun. This waiver you are signing today acknowledges the fact that you are now aware of said exemption and further stipulates that you hereby exempt the CHL Instructor from any law suit by you or anyone on your behalf for any material you are being taught today, do not hold the Instructor responsible for any actions you may make or not make, as a consequence of what you are learning or failed to learn about carrying a concealed handgun, further exempts Instructor's family members as well and Instructor's business enterprise(s). In summary, by signing this waiver you are signifying that you do not hold the Instructor, and all the above liable for any-thing being taught in this class and therefore waive any right to sue for any damages of any kind.
Signed ___________________________________________ Date _________________
________________________________________________
Printed Name, Must be Legible
TexSun Concealed Handgun Instruction P.O. Box 55533 - HouTex 77255-5533