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Course Registration

Training Registration Form

DIsclaimer:Required fields indicated with a red astrix.

Have you ever been convicted of a felony crime? *YesNo

Are you legally disqualified to handle or use firearms due to a court restraining order? *YesNo

First Name *

Middle Name/Initial

Last Name *

Street Address *Enter number & street

City *

State/Province *

ZIP / Postal Code *

Date of Birth *Enter today's date0 / 10

Primary Phone *ENter the best number to contact you.

Email Address *Providing this iinformation will sign you up for our email communications. If you do not use email you may opt out by stating "No Email"

I'm Registration for... *NRA Basic Pistol - Concealed Carry CertificateDefensive Pistol I - Personal Protection INSIDE the HomeDefensive Pistol II - Personal Protection OUTSIDE the HomeSituational Awareness/Refuse To Be A Victim1st SHots - Pistol/RIfle/ShotgunIntroduction to Firearms - Ladies OnlySelect the class you are registrating for. Individual classes require individual registration.

Course Date *Enter date of class you are registering for

Firearms Experience? Select a rating for your level of experience from 1 to 5. *12345Scale: "1" being a complete novice, to "5" representing you are a seasoned sharp shooter.

Payment Instructions

Signature & agreement *SIgned & agreed toSignature & agreement

Date *Enter today's date0 / 10

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Directions

Classroom sessions are held at the
Providence Forge Recreation Center
9900 Carriage Rd.
Providence Forge, VA. 23140

Range sessions are held at our private range:
The Sanctuary Range
6341 Courthouse Rd
Providence Forge, VA. 23140
Email Signup

CLICK HERE to subscribe to our email list.
Payment Portal

CLICK HERE to be taken to our Payment Page.

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