Initial Applicant
Time/Date Subject To Change. Range dates would be scheduled
Course Date:
*
July 13-14th: 8A-430P (1 seat left)
July 27-28th 8A-430P (4 seats available)
Name
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First Name
Middle Name
Last Name
Gender
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Please Select
Male
Female
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NRA ID
Date of Birth
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Month
-
Day
Year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Have you taken our NRA Basics of Pistol Shooting course or equivalent prior to this training?
*
YES
NO
Do you have your own firearm, strong-side OWB holster, 3 magazines or speed loaders and concealed carry garment?
*
YES
NO
Special Notes or Request that you wish share with the instructor
2nd Applicant
Name
First Name
Middle Name
Last Name
Gender
Please Select
Male
Female
Non-Binary
NRA ID
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Have you taken our NRA Basics of Pistol Shooting or equivalent course prior to this training?
YES
NO
Special Notes or Request that you wish to share with the instructor
Please read and adhere to our policy.
*
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NRA Basic CCW
$
450.00
Quantity
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2
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0.00
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