Handgun Safety Course Registration

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Please correct the fields below:

Please correct the field(s) marked in red below:

Select the month you would prefer to attend. Current schedule.

Provide your legal name.

First

Middle

Last

List your maiden name as well as any aliases or other names you have used at any time.

Date and Place of Birth

Date of Birth (mm/dd/yyyy)

Place of Birth (City, State)

Home Address

Street Address

City

State

Zip Code

State(s) of prior residence

Race

American Indian

Asian/Pacific Islander

Black

White

Sex

Male

Female

Other Contact Information

Phone Numberext.

Email Address

Driver's License Information

Driver's License Number

State

I understand that by submitting this form I am agreeing to a background check. I also understand that persons with a felony or domestic violence conviction or adjudication withheld are not eligible to attend this training.

To receive a copy of your submission, please fill out your email address below and submit.
Email Address