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Handgun Safety Course Registration

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

1
Select the month you would prefer to attend. Current schedule.
 *
2
Provide your legal name.
 *
Provide your legal name.
3
List your maiden name as well as any aliases or other names you have used at any time.
4
 Date and Place of Birth
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Date and Place of Birth
5
Home Address
 *
Home Address
6
Race
 *
Race
7
Sex
 *
Sex
8
Other Contact Information
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Other Contact Information
9
Driver's License Information
Driver's License Information

10
 
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.
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