First Name *
Last Name *
Address *
City *
State *
Zip Code *
Email Address *
Telephone Number
Requested Class Date
*
Gift Card Code
Question 1:
Are you 19 years old or older and a United States
citizen? Y/N *
Question 2:
Are you a Missouri resident? Y/N *
Question 3:
Have you pled guilty to or entered a plea of nolo
contendere or been convicted of a crime punishable by
imprisonment for a term exceeding one year under the
laws of any state or of the United States other than a
crime classified as a misdemeanor under the laws of any
state and punishable by a term of imprisonment of one
year or less that does not involve an explosive weapon,
firearm, firearm silencer or gas gun? Y/N *
Question 4:
Have you been convicted of, pled guilty to or entered a
plea of nolo contendere to one or more misdemeanor
offenses involving crimes of violence within a five-year
period immediately preceding today's date, or have you
been convicted of two or more misdemeanor offenses
involving driving while under the influence of
intoxicating liquor or drugs or the possession or abuse
of a controlled substance within a five-year period
immediately preceding today's date? Y/N *
Question 5:
Are you a fugitive from justice or currently charged in
an information or indictment with the commission of a
crime punishable by imprisonment for a term exceeding
one year under the laws of any state of the United
States other than a crime classified as a misdemeanor
under the laws of any state and punishable by a term of
imprisonment of two years or less that does not involve
an explosive weapon, firearm, firearm silencer, or gas
gun? Y/N *
Question 6:
Were you discharged under dishonorable conditions from
the United States Armed Forces? Y/N *
Question 7:
Have you engaged in a pattern of behavior, documented in
public records, that would cause your sheriff to have a
reasonable belief that you present a danger to yourself
or others? Y/N *
Question 8:
Have you ever been adjudged mentally incompetent within
the last 5 years, or have you been committed to a mental
health facility or a similar institution located in
another state following a hearing at which the defendant
was represented by counsel or a representative? Y/N
*
Question 9:
Are you the respondent of a valid full order of
protection which is still in effect? Y/N *
Question 10:
Do you wish to use your own .22 pistol(s) and ammo
during the range portion? Y/N *
Question 11:
Do you have any experience with handguns? Y/N *
Question 12:
Do you have any experience with any firearm? Y/N
*
Question 13:
Are you a member of American Legion Post 444, their
affiliate groups (Sons of the American Legion, Legion
Riders, etc.), or a family member of an American Legion
Post 444 member? Y/N *
