First Name
*
Last Name
*
Email
*
Must be unique to you (cannot share an email address with another related student).
Address
*
Phone
*
SMS Opt-in (to receive important class notifications)
Opt In to Receive SMS Notifications, Alerts & Occasional Marketing Communication
Date of birth
*
MM/DD/YYYY
Join Email List? (must choose yes to receive class notifications)
*
Yes
No
City
*
State
*
Postal code
*
Where did you hear about us, or who referred you?
Emergency Contact - Name
*
Emergency Contact - Phone
*
Do you currently have a valid MD Handgun Carry Permit?
*
Yes
No
Current MD Permit Expiration
MM/DD/YYYY
To your knowledge, have you ever been convicted of an offense of for any other reason be prohibited from owning or possessing a firearm?
Yes
No
Current Permit or Current Gov. ID (upload)
Encrypted with GDPR Standards
Have you taken a range day course with Team Grizzly in the past?
Yes
No
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Gun Info
Do you have a safe and operational handgun to bring?
Yes
No - Team Grizzly will provide ($27.00 add-on)
Make/Model
What type of holster do you carry and what material is it (select all that apply)?
*
Inside the Waistband (IWB)
Outside the Waistband (OWB)
Kydex / molded plastic
Leather
Other
Caliber
How many magazines do you have for your gun? 3 MAGS OR 30 ROUNDS BEFORE RELOADING MAGS ARE REQUIRED.
More than 3
3
2
1
For Range Day
Ammo - would you like to purchase ammo from Team Grizzly?
*
Yes (choose quantity at checkout)
No, I'll bring my own ammo.
I would like pricing for ammo other than 9mm
Undecided
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Handedness
Right-handed
Left-handed
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Do you need ear & eye protection
*
Yes, please bring for me
No, I have my own
Do you have a magazine pouch or pouches?
Yes
No
NOT RENoQUIRED BUT HELPFUL
List here anything else you want us to know, including special accomodation requests, pertinent health information, or questions.
Thank you!
Submit