PISTOL Courses

PISTOL COURSES - REGISTRATION FORM

(An individual Registration Form and Payment must be submitted for each student)
BEGINNERS: WSR PISTOL COURSE - 5 Hours
BEGINNERS: NRA BASIC PISTOL COURSE - 8 Hours
INTERMEDIATE: USCCA CONCEALED CARRY & HOME DEFENSE FUNDAMENTALS - USING SIRT GUNS IN CLASSROOM (does not involve live fire) - 5 Hours
INTERMEDIATE / ADVANCED: PRIVATE COACHING 2-1/2 hours - Tell us what skills you want to work on and which day of the week is preferred (Wednesday-Friday).
Full Name *

First Name Middle Name Last Name
Gender *
If NRA Member, provide ID# - If NOT an NRA member, enter "NOT NRA MEMBER" *
Date of Birth (mm/dd/yyyy) *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
example@example.com
Firearm Status *

Bringing my firearm to class (specific details required in next box) Requesting to use Instructor's firearm - I understand this will cost an additional $50 that I will pay on the class date (not an option for Private Coaching) USCCA PISTOL Course - Firearm not required
Specify the Make/Model/Caliber of Pistol you are bringing OR for USCCA Course enter "Not Applicable" *
I certify that I am NOT prohibited from purchasing or possessing a firearm due to State or Federal Law. I certify that all information provided on this registration is true and correct *

Yes
Questions, comments or special needs
COURSE FEE (All Courses are Paid in Full - refunds provided only in extenuating circumstances) *
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Beginners: WSR Pistol Course $ 120.00

Beginners: NRA BASIC Pistol Course $ 170.00

Intermediate/Advanced: USCCA $ 120.00

Intermediate/Advanced: Private Coaching - WSR MEMBERS DISCOUNT $ 135.00

Total $ 0.00
Enter the message as it's shown (without the strike through line) *
PRESS "SUBMIT" TO CONTINUE TO THE PAYMENT OPTIONS AND TO COMPLETE YOUR REGISTRATION:
Within a few days following submission of this form, you will receive an email from wicenshootingrange@yahoo.com , with specific class details. Please check your junk or spam mail in case our message is received in that folder.

YOU MAY NOT ATTEND IF YOU ARE PREGNANT OR TRYING TO BECOME PREGNANT.

IF YOU ARE PROHIBITED FROM PURCHASING OR POSSESSING A FIREARM DUE TO STATE OR FEDERAL LAW, YOU ARE NOT ABLE TO ATTEND ANY CLASSES AND ARE NOT ALLOWED ON THE PROPERTY.
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PISTOL COURSES - REGISTRATION FORM