Texas Pistol Academy
"Second to None"
In small arms training.
Full Name of Applicant:

Mailing Address:

City:State:Zip:

Work Phone:Home Phone:

Type of Course:

Date of class 1st choice:2nd:

Drivers License Number:

Social Security:

Deposit: A $200.00 deposit must accompany this application. Check or credit card.
Balance: The balance is due prior to the beginning of the first day of class.
CLASSES ARE RESTRICTED TO NO MORE THAN 12 SHOOTERS, THEREFORE THE FOLLOWING CANCELLATION POLICY APPLIES.

Cancellations:30 days or more prior to the class date, 75% of deposit goes towardfuture class date.15 days or less prior to class date, 25% of deposit goes toward a futureclass date.Students failing to report for class forfeit "their deposit".

Good Character References: Two required. Enclose evidence of no criminal history from a local law enforcement agency on official department letterhead, and a statement of good character from a local resident, Chief of Police, Sheriff, District Attorney, Judge, Personal Attorney, Pastor, Employer. You may also use your R.T.C. Certificate as the sole requirement.

Signature of Applicant:


2552 Rosehill RoadWhitewright, Texas 75491Fax(903)364-5253(903)364-2076