Course Registration Step 1 of 2 50% Home Firearm Safety Price: $50.00 Hunter Safety Price: $0.00 Basic Shotgun Shooting Price: $125.00 Basic Rifle Shooting Price: $125.00 Precision Rifle (500 yards) Price: $239.00 Precision Rifle (200 yards) Price: $189.00 Basic Pistol Shooting Price: $125.00 Personal Protection In The Home Price: $159.00 Personal Defense Level 1 Price: $147.00 Personal Defense Level Two Price: $244.30 Concealed Carry Level 3 Price: $244.30 Concealed Carry Combo - Levels 2 & 3 Price: $248.00 Defensive Handgun Level One Price: $99.00 Coupon Code Do you have a Referral Code?YesNoIf you have a Referral Code, please enter it here*If you have a Referral Code, please enter it here*Student InformationPlease fill in this info if student is a minor, and use parent / guardian for contact info below.Name* First Last Date of birth* Date Format: MM slash DD slash YYYY Contact InformationName* First Last Date of birth* Date Format: MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email Address* Phone Number*Emergency Contact Name* First Last Emergency Contact Phone Number*How did you hear about us? (Optional) Eligibility InformationAre you currently under indictment for any criminal charge(s) punishable by imprisonment for more than one year?* Yes No Have you ever been convicted of a felony?* Yes No Have ever been convicted of a misdemeanor offense of domestic violence?* Yes No Are you subject to a restraining order for domestic violence?* Yes No Are you a fugitive from justice?* Yes No Are you an unlawful user of, or addicted to, a controlled substance(s)?* Yes No Have you ever been adjudicated as a mental defective or committed to a mental institution?* Yes No Are you an alien illegally in the United States?* Yes No Have you ever been dishonorably discharged from any branch of the U.S. military?* Yes No Have you ever renounced your U.S. citizenship?* Yes No To the best of your knowledge, do you affirm that you are not prohibited by Federal or State Law from possessing/using firearms and/or ammunition?* Yes No Total $0.00 Please enter your initials if you certify that the above information is accurate*
