Course Registration

Course Name:

Course Date: 

First Name:         Last Name:

Address:        

City/State/Zip

Phone:               E-mail: 

Date of Birth:     NRA Member      

Member:  DePere Sportsmens Club     Luxemburg Sportsmens Club

For First Steps or Personal Protection inside/outside the Home:

Make/Model of Handgun:     Ammunition: 

Print this page and send page and check to: 

    

 

[Home]