Safety Course Reservation

Scituate Rod and Gun Club

Safety Course Reservation
Classes are given on the first Tuesday and Thursday of each month, except July.
The classes run from 7:00 PM until 9:30 PM.
* Required information
You must supply your legal name, as given on your driver's license.
DO NOT use nicknames or abbreviations. The information on this form is what we submit to the MA State Police.
Name*
E-mail*

Confirmation Email
Birth Date*

MonthDayYear
Phone Number*

Area CodePhone Number
Course Month*
"Live Fire" certification

Check only if required by the Police Department where you are applying for a license.
Enter the message as it's shown*
Should be Empty:

Scituate Rod and Gun Club