NRA Course Registration Form
Please provide us with your contact information.  Without this information, we will be unable to complete your registration for NRA-based courses, or contact you to help arrange a convenient time to take the course.  We will not distribute, sell, or provide this information to any other company (except to register students with NRA, unless opted in).

Please fill this form out ONCE FOR EACH ATTENDEE.

Gift Certificate / Deal Voucher Holders:  For privacy reasons, the deal sites can not share your contact information with us, even though you purchased an offer to do business with us.  Filling out this form is crucial to us scheduling a course with you.
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First Name *
Middle Name
Last Name *
Gender *
Current NRA Member *
NRA # and Expiration Date (if applicable)
Date of Birth *
MM
/
DD
/
YYYY
Address *
City *
State *
Zip Code *
Phone *
Email Address *
Special Needs
Share your personal information with NRA affiliates? *
Do you intend to bring your own firearm?  (It's ok to change later - we just need to anticipate.  Rental fees apply.) *
Briefly describe prior shooting experience
Additional comments
Gift Certificate / Coupon / Voucher Number
If you have prepaid for a course, have a gift certificate, or have some other type of voucher or coupon code, please enter it here.
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