Group Registration Form

Group Registration Form

Fill out the form to register to our event
Contact Name*

First NameLast Name
Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicants must be 21 years old to register.
Birth Date*

MonthDayYear
Driver's License #
Driver's License State
Age*
E-mail*
Phone Number*

Area CodePhone Number
Please choose your preferred method of communication
Please provide up to three dates that you are available to schedule your class. Instructor will contact you to finalize appointment.
1st Choice*

MonthDayYearHourMinutesAM/PM Option
2nd Choice*

MonthDayYearHourMinutesAM/PM Option
3rd Choice*

MonthDayYearHourMinutesAM/PM Option
Please list the names and ages of additional people in your group:
Please choose*
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NRA Basic Pistol with Enhancement$140.00

Quantity

Registration Deposit Only (Nonrefundable)$500.00

Subtotal $0.00Tax $0.00Total $0.00
***All prices are per person and are subject to change***

**All prices include Nonrefundable Registration Deposit**

***Registration Deposit required for a minimum of 10 people. Remainder of fees will be due at beginning of class***
Should be Empty: