LFI REGISTRATION FORM

 

1. Please reserve a space for me in the _____________________ course dated _______________, located in ___________________________________. If that course is filled, sign me up for __________________________________________.

2. Enclosed is my payment in full for the above course. Your deposit will be returned upon 30 days written notice of cancellation.

3. As proof of good character, I enclose one of the following:

______(a) A letter of reference from a local official, i.e., Chief of Police, Sheriff, District Attorney, Judge, etc

______(b) A letter from a practicing attorney stating that I have no police record or history of institutionalization mental health care.

______(c) Proof of occupation in the law enforcement field.

______(d) A concealed carry permit or federal firearms license.

4. I agree to abide by all safety procedures required by the Institute and I agree to releasing the Institute from any responsibility for any injury sustained by me during the training program.

5. In signing this application, I certify that I am at least eighteen (18) years of age or I will be accompanied by a parent or legal guardian.

NAME____________________________________PHONE_______________________

STREET ADDRESS______________________________________________________

CITY__________________________________STATE____________ZIP____________

Please check one: ( )Check or money order enclosed

( ) Charge card: Visa/Mastercard/Discover/American Express. No._______________________________________________________________ Exp Date_____________________

Please print this registration form and fax along with a copy of your character reference to (603)226-3554 or mail it to LFI Enterprises, Inc., PO Box 122, Concord, NH 03302-0122