to register for one or more classes, complete this form and mail as directed below

NRA COURSE REGISTRATION FORM

TRAINING COURSE:      Pistol _____     Rifle _____     Shotgun _____      Home Firearm Safety _____

               Pers Prot IN Home _____     Pers Prot OUTSIDE Home _____     Range Safety Officer _____

              Metallic Cartridge Reload _____        Shot Shell Reload _____   Muzzle Load (specify) _____

SKILL LEVEL:       NRA Basic Course ______         or        NRA Instructor Certification _____

Name                                                                                                                         DOB                              

Street Address                                                                                                                                               

City                                                                                              State                            Zip                          

Home Phone:                                            Work:                                         Cell:                                           

Email:                                                                                                                                             

..........................................................................................................................................................................

I am a CURRENT MEMBER of the National Rifle Association (NRA):   YES      NO

(if YES, pls enter the following information from your member card)

NRA #: ____________________________ exp date _____________

(if NO but desire to join / renew? - pls wait for the class to start to join/renew for only $25 !

............................................................................................................................................................................

Describe your prior shooting experience:                                                                                                   

                                                                                                                                                                           

Please mail (1) this completed form and (2) registration fee of $ ________ made out to:
William Rees, 630 Sausalito Blvd, Casselberry, FL 32707

Questions? Pls direct them to guntrain@GunTrainingFlorida.com

or call 407.808.8859