CIVILIAN FIREARMS SAFETY COURSE 08/30/18 Conducted by The Volusia County Sheriff s Office Training Section Page 1 of 8
Volusia County Sheriff s Office Michael J. Chitwood, Sheriff Thank you for your interest in the Civilian Firearms Safety Course, sponsored by the Volusia County Sheriff s Office. Enclosed you will find an instruction sheet, map of where the training is held, application form and release/disclaimer of liability form. In order that we may process your request, please be sure to fill out completely and return the following to the address listed below as soon as possible. 1) Application 2) Release/Disclaimer of Liability 3) Copy of Florida Driver s License or personal Florida ID Card 4) Check made out to the County of Volusia a. $25 for Volusia County residents b. $50 for non-volusia County residents Once we receive your application, we will do a personal background check and a weapon check. After this has been completed, we will notify you with the date of your class. Remember you must provide all of the information requested on the application, to include your gun information and all personal information. You must also provide a copy of your Florida Driver s License or Florida ID which includes your date of birth. Incomplete applications will be returned. The dates of our classes: March 17, May 19, September 15, and November 17, 2018. You must submit and we must receive your application at least two (2) weeks prior to the class date. If you have any questions, please call: (386) 239-6522 Daytona Beach (386) 943-7008 DeLand (386) 424-6853 New Smyrna Beach Sincerely, Michael J. Chitwood, Sheriff Mail checks to: Office of the Sheriff 3901 Tiger Bay Rd Daytona Beach, FL 32124 Page 2 of 8
CIVILIAN FIREARMS SAFETY COURSE INFORMATION The Volusia County Sheriff s Office is pleased to sponsor a Firearms Safety Course. This course is structured for the beginner; however it is open to anyone 18 years of age or older who wishes to become more familiar with firearm safety. This course will also meet educational requirements for the State of Florida concealed weapon permit application. Cost of Course: Please make checks payable to the County of Volusia $25.00 Volusia County Residents $50.00 Non-Volusia County Residents Date/Time: Location: 2018 Dates: March 17, May 19, September 15, November 17 8:00 a.m. 2:00 p.m. You may bring your lunch or snack. There are soda and snack machines on the premises. There is a sub shop located on the corner of US 92 and Indian Lake Rd. You will receive a confirmation of your enrollment in the class by phone verifying that your application was received and that your background checks are completed. Classroom Volusia County Sheriff s Office Deputy Stephen Saboda Training Center 3901 Tiger Bay Road, Daytona Beach, Florida 32124 Firing Range Deputy Stephen Saboda Training Center Equipment: Each participant must bring a handgun that is in good, clean, working condition; 10 rounds of factory loaded ammunition for the handgun; ear and eye protection. All weapons will be inspected by the Range Master prior to the firing exercise. Defective, unsafe, or questionable weapons will not be allowed to be used in this exercise. The Range Master makes the final decision as to whether a gun will be used in the exercise. Contact Person: Volusia County Sheriff s Office Training Section Daytona 239-6522 or Deland 943-7008 A completed application and a copy of your driver s license or ID card are required. Class size is limited to 15 participants. APPLICATION MUST BE COMPLETED AND RETURNED NO LATER THAN TWO WEEKS PRIOR TO CLASS DATE AND MUST INCLUDE YOUR CHECK. Course Outline: 1. Florida State Statutes/Firearms Laws 2. Home, car, range safety 3. Care and cleaning 4. Safe handling practices and storage 5. Sight pattern and trigger control 6. Range rules 7. Shooting 10 rounds from the 7 yard line Instructions: 1. Firearms are to be unloaded before arriving on County property. They are to be left in your vehicle and secured in a holster or gun case. 2. No ammunition is to be brought into the classroom. 3. The Range Master has the right to dismiss anyone, at any time and will, for safety violations. 4. You are to notify the Range Master of any medical conditions you have. Page 3 of 8
CIVILIAN FIREARMS SAFETY COURSE APPLICATION (Please Type or Print legibly/incomplete Applications will be returned to you) Name: Last First Middle City: State: ZIP: Telephone Number: ( ) Work ( ) Date of Birth: Email: SS#: FL Driver License# Date of the Civilian Firearms Class You Wish To Attend: Alternate Date: Have you ever been arrested? Yes No. If yes, state when and where and explain: (State Statutes #943.0585 and #943-059 requires that you must disclose any sealed or expunged record when applying to take the Civilian Firearms Safety Course). Weapon Name Model Caliber Serial Number Medical condition, which may affect shooting a firearm: Why do you want to attend this course? I hereby certify that the above information is true and correct and all statements are subject to investigation. I agree to comply with all orders, rules and regulations of the Volusia County Sheriff s Office. Signature: Date: PLEASE DO NOT WRITE BELOW THIS LINE WARRANT CHECK CRIMINAL HISTORY WEAPON CHECK Date/Initials Date/Initials Date/Initials Page 4 of 8
Volusia County Sheriff s Office Michael J. Chitwood, Sheriff Release/Disclaimer of Liability The undersigned hereby releases and forever discharges the County of Volusia ( herein referred to as County ), its agents or employees from any and all claims, damages, causes of action, or suits at law or in equity arising from any act or failure to act which occurs while the undersigned is participating in the Volusia County Sheriff s Office Firearms Training Program. Said release and discharge is entered into on behalf of the undersigned and his/her heirs, executors and administrators. The undersigned assumes risk of participating. The undersigned states that no representations have been made by the County or any of its agents or employees or anyone on their behalf to induce the undersigned to sign this release/disclaimer of liability. The undersigned specifically agrees that this release/disclaimer of liability shall be a complete bar to any and all claims or suit for injuries or damages of whatever nature resulting from the participation of the undersigned. I fully understand that my signature gives the Volusia County Sheriff s Office permission to conduct a criminal history records check. Witness Signature of Person Disclaiming Liability Printed Name Address Page 5 of 8
NOTICE TO PERSONS REGARDING COLLECTION OF SOCIAL SECURITY NUMBERS The Volusia County Sheriff s Office collects Social Security Numbers of persons who: 1. Apply for employment or are employed by this Office; 2. Apply to qualify with a firearm pursuant to HR 218, Nationwide Concealed Carry Act for Retired Law Enforcement Officers; 3, Apply to volunteer with this Office; 4. Are arrested or contacted for investigative reasons by this Office; 5. Are fingerprinted by this Office, or; 6. Provide information for any other purpose. For the performance of duties and responsibilities prescribed by law, the Volusia County Sheriff s Office collects Social Security Numbers for the following reasons: 1. To verify identity. 2. To conduct employment background investigations. 3. To check for wanted person, driver s license, and criminal history queries. 4. Payroll purposes. 5. For any other purpose deemed imperative for the performance of duties and responsibilities prescribed by law. Page 6 of 8
Civilian Firearms Safety Course Directions to the Volusia County Sheriff s Office Stephen Saboda Training Center 3901 Tiger Bay Road Daytona Beach, FL 32124 From the intersection of Interstate 95 and International Speedway Blvd. (U.S.92), travel west on International Speedway Blvd., 4.2 miles to Indian Lake Road. Turn right at the signal (north) on Indian Lake Road and travel.8 miles to the intersection of Tiger Bay Road. Turn left on Tiger Bay Road and travel.5 miles to the Volusia County Sheriff s Office Training Center (Sign for Training Center says Deputy Stephen Saboda Training Center). If you end up at Tomoka State Prison, you have gone too far. Turn left on to the Training Center driveway and go to the last building straight to the end of the driveway. Page 7 of 8
Page 8 of 8