*Email address

Name - as you would like to have on your certificate upon satisfactory
completion of the class:

Street Address

City

State

Zip

Phone Number

Alternate Phone Number

Fax Number

Organization, Business, Company Name

Class Requested

*Handgun (Make, Model, and Caliber)

*Ammunition (Brand, caliber and bullet weight)

Are you at least 18 years old?

Is there any reason that legally prohibits you from possessing a firearm?

Comments: Previous Firearms Classes & Dates Taken (300 character maximum)

(In order to meet some pre-requisites and to ensure most students are on the same skill level, please complete, if applicable).

*(In order to make the class more enjoyable for all, and to ensure that you, the shooter, have sufficient ammunition available, we ask for the make and model of your firearm and ammunition used. We have learned through experience that shipments of ammunition are not always timely. We will make ammunition available to purchase if needed or requested).

We will contact you to confirm the class that was requested. At that time, we will need a 50% deposit to save your slot for the class. The remainder is due upon arrival to the class. The deposit is non-refundable and not transferable. We will accept a check, money order, cashier's check, or a VISA, Mastercard, or Discovery Card.