Texas Star Shooting Registration Form
This form is required to register for
the FIREMAN'S LTC Private class on February 6th. This is for the CHVFD, Brenham FD and its volunteers and their immediate family members only.
Please answer all questions as thoroughly as possible!
Indicates required field
Name- EXACTLY as it appears on your DL
Drivers License Number
Course you are registering for
Feb. 6th LTC class-Fireman & Family (private class)
Name of the FD and Member you are registering with (if you are the member, put 'self' and CH or BFD)
Cash or check in class
Paying by credit card IN CLASS
If mailing a check send to: VIcki Hanak 730 W. Briarwood Dr. Brenham, TX 77833. PayPal friends and Family option is sent to firstname.lastname@example.org I can contact you for credit card info or you may pay by credit card in class or at the range.
Age/Date of Birth
Format example: 32/01-05-1982
What is your experience with firearms?
This section is important....answer HONESTLY.
If someone taught you to shoot, who was it and when?
Do you own a gun? What kind(s)?
Will you be bringing that gun to the range?
Will you need to use a firearm and purchase ammo for the range? If so, do you prefer a semi-auto or a revolver?
Do you have children (or grandchildren) in the house? If so list their age(s).
What fears do you have, if any, about firearms?
Do you have any special needs physical limitations or require accomodations for the class or the range? If so, please list.
Is there anything else you would like me to know?