Basic Marksmanship Instruction Registration Form

Please complete the form, below. After submitting you will be contacted for your social security number and payment arrangements. You will be required to sign the completed form on the day of class.

Possess a valid and current LTC or FID?*

Own a firearm?*

Please Read Carefully Before Signing

I understand by signing this form this gives WESTERN MASS SELF DEFENSE the right to accept or deny my application should any information be intentionally left out or misleading. I further understand that WESTERN MASS SELF DEFENSE is not held responsible for any equipment that may be lost, stolen, or broken; or any injuries that may be sustained during training. I also understand that I am not entitled a refund should I not act or conduct myself in a unsafe manner as to cause injury to myself or any other participants. I understand this will be definite grounds for dismissal with prejudice.

Please review what you entered before you click the Submit button, and click it ONLY ONCE.


This class is a must for any beginner or experienced person interested in learning how to defend their home, family, and themselves. The instructors have a wealth of training and experience from both law enforcement and military training. I felt secure and safe throughout the entire class. Overall great class!

-Mr. Keith Wiliams from Easthampton

Alan did a great job helping me with the firearm and making sure I was safe with it. I was uncomfortable at first, but Alan and Lee made sure I was doing everything right and then I felt comfortable with the firearm. Lee did a good job at explaining everything.

-Ms. Leslie Garcia from Greenfield