Private one on one gun safety training

Firearms Training

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Store Name * What is the name of the gun store?
Shipping Address (Street) * What is the Street Address?
Shipping City * What is the city/town?
Shipping Zip Code * What is the Zip Code?
Shipping Phone * What is the store phone number?
Shipping Email * What is the store email address?
Check if the dealer has a Federal Firearms License

Student’s Name * (include middle initial)
Student’s Date of Birth * mm/dd/yyyy
Student’s Sex *	Male Female
Student’s Street Address * This cannot be a PO Box
Student’s City/Town *
Student’s State *
Student’s Zip Code *
Student’s Phone Number * This is only used in case of a class cancellation
Student’s Email: *
Is the student 18 years of age or older? *	Yes No
I understand that the fee for the course is non-refundable *