Class Registration
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Name: *
Full Name As It Appears On Your Drivers License.
Address (Street, City & State): *
Telephone: *
Email:
Weapon Choice (Make and Model)
Semi Automatic or Revolver?
How did you hear about us? *
Please Check All That Apply
Required
What to bring to class..... 
CLASS DATES *
Choose One
                              Thanks for choosing Kentucky Concealed Defense Academy !
Thanks for choosing Kentucky Concealed Defense Academy !
What type of class do you want to enroll in? *
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