Defensive Pistol Registration Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone number *Date of class you wish to take: *Do you have a valid resident or non-resident Massachusetts LTC? *YesNoAre you at least 21 years of age and a U.S. citizen? *YesNoAre you a member of Danvers Fish & Game Club? (You don't have to be but members receive discounted pricing) *YesNoHow often do you shoot pistols? *What firearm (make, model, caliber) will you be bringing to class? (Please be sure to read the equipment requirements list [linked to in the course description] to be sure your firearm conforms.) *Please tell us the holster you'll be using (make and model). Be as specific as possible and be sure it conforms to our requirements in the equipment list. * Do you have at least three magazines for your pistol? (If not, you will need to purchase them prior to class.) *YesNoDo you have a gun belt and belt-mounted magazine pouches for at least two spare magazines? If not, you will need to purchase them prior to class (see equipment list linked to in the course description). *YesNoThis class requires physical activity, including periods of rapid movement and kneeling. Do you have any injury, handicap, or disability? *YesNoIf you answered yes to the above question, briefly describe your ailment or disability.Equipment List *I have read over the equipment requirements for this course (linked to in the course description) and agree to come to class with the required gear.Do you agree to the Paladin Group Training Class Policies? *YesNoHow will you be paying for this class? You will be contacted regarding payment after this registration form has been submitted and reviewed. *VenmoCredit CardIf Venmo was chosen as the payment option, please provide your Venmo handle so we may send you a payment request.If you have a discount code, enter it here:Submit