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STUDENT INFORMATION

Select the class you want to sign up for from the pull down menu. Type in the class date into the box.

*** I want to enroll in Please Select a Course CHL new permit CHL renewal Beginner Pistol Basic Pistol 1 Basic Pistol 2 Defensive Pistol Skills Defensive Pistol Skills 2 Defensive Pistol Skills 3 Beyond the Basics: Pistol NRA Refuse To Be A Victim Defensive Long Gun AT-1A: Low Light Shooting AT-2: FoF Scenarios AT-2A Home Defense Tactics AT-3: Wounded Shooter AT-4: Pistol Skills Development AT-5: FoF Clinic AT-5A: Low Light FoF AT-6: Pistol Workout AT-7: More Scenarios NRA Instructor Training Airsoft FoF Instructor Reloading Clinic Competition Pistol Team Tactics Defensive Knife Overview Personal Tactics Skills NRA Home Firearm Safety Combative Pistol 1 other Dynamic Pistol Marksmanship Dynamic First Aid Competition Rifle Competition Shotgun Skill Builder Take Your Daughter to the Range Day Medicine X Defensive Pistol Skills BUG 2013 Suburban Dad Conference Improvised Weapons Defensive Long Gun Essentials Defensive Knife Workshop ***Class date

***Name: (first, middle, last)
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***City: ***State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ***Zip:
***Telephone: This is my home work cell pager don't call me number.
Texas CHL (Advanced courses only):
Firearm experience: No experience BB/paintball gun but no firearm experience Shot other people's guns before Gun owner, no formal training Some training a long time ago Have had other training recently Shoot more than 6 times a year Frequent competitor Instructor Have memorized contents of gun magazines
Describe any previous training below.

EMERGENCY INFORMATION (optional):

This information is kept private and is only used to identify students that may need extra attention or assistance during class, and to assist first responders in the event of a medical emergency. Completion of this part of the form is optional.

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Use this space to give us important medical information that we might need in case of emergency. That might include shoulder/arm/back/hip injuries, life-threatening allergies (example: bee stings), and other data.


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