Registration Form


To order by phone please call us at 714.701.9918 to reserve your class. To order by fax or mail please print this form, fill it out, then fax it to 714.777.9318, or you may mail it to our office. Thank you!

Name: 
Phone: 
Address: 
City: 
State: 
Zip: 
Fax: 
Email: 
Occupation: 
Age: 

DESIRED COURSES: (check those that apply)

1911 A1 Armorer*
1911 A1 Armorer*
1911 A1 Armorer*
Advanced 1911 Reliability*
Advanced 1911 Reliability*
Advanced 1911 Reliability*
Advanced 1911 Reliability*
Advanced Carbine
Advanced Carbine
Advanced Live Fire Entry
Advanced Live Fire Entry
Advanced Live Fire Entry
Advanced Long Range Rifle
Advanced Long Range Rifle
Advanced Long Range Rifle
Advanced Pistol - Low Light & Night Shooting
Advanced Pistol - Low Light & Night Shooting
Advanced Pistol, Carbine & Scenarios+*
Advanced Pistol, Carbine & Scenarios+*
Advanced Scenarios*
Advanced Shotgun
Advanced Shotgun
Advanced Shotgun
Basic Recreational Handgun Safety+*
Basic Recreational Handgun Safety+*
Basic Recreational Handgun Safety+*
California Baton Permit and Chemical Irritant
California Exposed Firearm Permit - Open Carry*
California Exposed Firearm Permit - Open Carry
California Guard Card - Powers To Arrest+*
Carbine Night Operations
Carbine Night Operations
Carbine Night Operations
Carbine Night Operations
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Course*
CCW California Concealed Carry Weapon Renewal Course*
CCW California Concealed Carry Weapon Renewal Course+*
CCW California Concealed Carry Weapon Renewal Course*
CCW Low Light Shoot
CCW Low Light Shoot
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
CCW Nevada Concealed Carry Weapon Course+*
Disaster Preparedness*
Disaster Preparedness*
Disaster Preparedness*
Disaster Preparedness*
General Carbine
General Carbine
General Carbine
General Handgun
General Handgun
General Rifle
General Shotgun
General Shotgun
General Shotgun
Glock Armorer Course*
Glock Armorer Course*
Glock Armorer Course*
Glock Armorer Course*
Gunsite - 260*
Gunsite - Carbine 223*
Gunsite - SureFire - Advanced 40 Hour Instructor Course*
Gunsite - SureFire - Advanced 40 Hour Instructor Course*
J. Stafford Executive Personal Defense
J. Stafford Krav Maga
J. Stafford Krav Maga
Ladies Pistol and Self Defense
Ladies Pistol and Self Defense
Ladies Pistol and Self Defense
Ladies Pistol and Self Defense
Live Fire Entry
Live Fire Entry
Live Fire Entry
Live Fire Entry
Long Range Rifle
Long Range Rifle
Long Range Rifle
Long Range Rifle
M16 Armorer Course*
M16 Armorer Course*
M16 Armorer Course*
M16 Armorer Course*
M16 Armorer Course*
M16 Armorer Course*
M16 Armorer Course*
M16 Armorer Course*
Mossberg Shotgun Armorer*
Mossberg Shotgun Armorer*
Mossberg Shotgun Armorer*
Murphy's SPEC 4 Day Advanced Pistol - Gunsite*
Murphy's Special 3 Gun - Gunsite*
N.R.A. Instructor Course - Pistol*
N.R.A. Instructor Course - Pistol*
N.R.A. Instructor Course - Pistol*
N.R.A. Instructor Course - Pistol*
N.R.A. Instructor Course - Pistol*
N.R.A. Instructor Course - Rifle*
N.R.A. Instructor Course - Rifle*
N.R.A. Instructor Course - Rifle*
N.R.A. Instructor Course - Rifle*
N.R.A. Instructor Course - Rifle*
N.R.A. Instructor Course - Rifle*
N.R.A. Instructor Course - Rifle*
N.R.A. Instructor Course - Shotgun*
N.R.A. Instructor Course - Shotgun*
N.R.A. Instructor Course - Shotgun*
N.R.A. Instructor Course - Shotgun*
N.R.A. Instructor Course - Shotgun*
N.R.A. Instructor Course - Shotgun*
N.R.A. Instructor Course - Shotgun*
Pistol - Shotgun - Advanced Skills - Low Light Shoot*
Pistol - Shotgun - Advanced Skills - Low Light Shoot*
Pistol Night Operations
Pistol Night Operations
Practical Medical
Remington 870 Armorer*
Remington 870 Armorer*
Remington 870 Armorer*
Remington 870 Armorer*
Remington 870 Armorer*
Remington 870 Armorer*
Revolver
Revolver
Shotgun Home Defense+*
Shotgun Home Defense+*
Shotgun Home Defense+*
Shotgun Night Operations
Shotgun Night Operations
Surefire Institute - Low Light Instructor Course*
Surefire Institute - Low Light Instructor Course*
Surefire Institute - Low Light Instructor Course*
Surefire Institute - Low Light Instructor Course*
Surefire Institute - Low Light Instructor Course*
SureFire Institute - Low Light Instructor Course Level 2*
SureFire Institute - Low Light Instructor Course Level 2*
SureFire Institute - Low Light Instructor Course Level 2*
Tactical Handgun
Tactical Handgun
Tactical Pistol, Shotgun, Carbine
Tactical Pistol, Shotgun, Carbine
Tactical Shotgun
Tactical Shotgun
Tactical Shotgun
Tactical Shotgun
Tactical Shotgun
Tactical Shotgun
Tactical Shotgun
Tactical Shotgun
Toy Shoot - Pistol and Shotgun
Toy Shoot - Pistol and Shotgun*
Toy Shoot - Pistol, Shotgun and Rifle+*
Toy Shoot - Rifle*
Toy Shoot - Rifle
Utah, Florida, & Arizona Concealed Carry Weapons*
Utah, Florida, & Arizona Concealed Carry Weapons*
Utah, Florida, & Arizona Concealed Carry Weapons*
Utah, Florida, & Arizona Concealed Carry Weapons*
Utah, Florida, & Arizona Concealed Carry Weapons*
Women's Self Defense +*
Women's Self Defense +*
Women's Self Defense +*
Women's Self Defense +*
Zombie Attack!!! Improvised and Edged Weapons
Zombie Attack!!! Pistol/Carbine Low Light Shoot
Zombie Attack!!! Pistol/Carbine Low Light Shoot
Zombie Attack!!! Pistol/Carbine Low Light Shoot
Zombie Attack!!! Pistol/Shotgun Low Light Shoot
Zombie Attack!!! Pistol/Shotgun Low Light Shoot
Zombie Attack!!! Pistol/Shotgun Low Light Shoot
Other:

Date I Will Attend:

PAYMENT METHOD:
    Check #
    Money Order
    I Will Send By Mail
Credit Card 
Card Type: Visa Master Card American Express Discover
Card Number:
Name As It Appears On Card:
Expiration Date (mm/yy):

Note: A $50.00 non-refundable deposit will reserve your spot in the class. If you are unable to attend, FTA requires a 3 DAY advanced notice to transfer your deposit towards a future class.

AMOUNT

Note: Full payment 10 days prior to class, earns a 10% discount!*

* Please note there is no discount available for classes marked with *
+ Please note only full course tuition payments are accepted for classes marked with +

By signing this paper you are acknowledging that you understand that the proper operation of a firearms training class depends on the careful control of a deadly weapon and such control depends on me and my classmates' wholehearted cooperation of the F.T.A. safe gun handling practices. Further, I understand that my participation in the clinic may be terminated at any time during the course if my cooperation is not deemed satisfactory by the F.T.A. representative. I agree to abide meticulously by any and all safety procedures required. I further agree to sign a statement releasing the F.T.A. and it's official representatives from responsibility for any injury that I may sustain during the training program. In signing this application, I certify that I will be at least eighteen years of age at the time of the class or will be sixteen and accompanied by my parent or legal guardian. I am aware, acknowledge and authorize F.T.A. to deduct the above amount from my credit card plus a two percent surcharge.

Please make checks payable to Firearms Training Associates. Send payment and this form to P.O. Box 554, Yorba Linda, CA 92885-0554

Do you agree with the terms and conditions above?
Yes
No

Date (mm/dd/yy):