Pistol Permit Training Registration Form

Pistol Permit Training Registration
Training Location
Captain James H. Small Firearms Training Facility
169 J. Small Range Road
Delhi, NY 13753
Date of Training

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Attendee Information

Please fill name and contact information of attendee.
Your Full Legal Name

First NameMiddle NameLast Name
To finalize your registration, please provide your full legal name exactly as it will appear on your pistol permit. Please note that the Delaware County Pistol Clerk requires training certificates to match the full legal name on file; therefore, no middle initials can be accepted—the full middle name must be included

Failure to provide this information will result in a delay in issuing your certificate.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Payment Method
All fees are to be made payable to the Village of Delhi. A non-refundable $100 deposit is required to hold your spot. Should you have any questions, please contact Elinor Hood at hood.elinor@villageofdelhiny.gov or call 607-746-2258, ext. 106.
Payment and Cancellation Policy
Click here to view the Payment & Cancellation Policy
Payment Method
To Pay by Credit Card

Visit our Credit card payment link: https://www.govpaynow.com/gps/user/plc/4640
- In the ACCOUNT section indicate the class you are taking;
- In OTHER, click Training/Tuition.
To Pay by Cash or Check

Please print this registration form (a copy will be emailed to you) and return to:

Delhi Village PD
P.O. Box 328
Delhi, NY 13753
Attn.: Elinor Hood
Should be Empty:

Pistol Permit Training Registration

Attendee Information

Payment Method