Couples Match Practical Rifle Registration Form

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Below please find our registration form for our Practical Rifle Program. You will receive an official confirmation that you are registered via email within 24 hours of sign-up. Thank you for your interest in our program.

Your Name *

Please use the following format: John Smith

The name of my Couple's Match Partner is? (if single please indicate SINGLE in the answer space) *

Are you a member of Langhorne Rod and Gun Club? *

Member

Non-Member

Your Email *

PLEASE DOUBLE CHECK TO MAKE SURE YOU HAVE IT CORRECT

Please provide a cell contact number *

This will only be used for urgent updates or cancellations

Have you shot with us in the past 12 months? *

Yes

I affirm I am 18 years of age or older and am not prohibited by any Federal, State, County or Local Court or Law Enforcement agency from possessing firearms. I will leave my firearm in it's case until told to un-case by Range Safety Staff. *

Please read the complete text

Yes

Submit

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