Private LTC Registration Form

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 *

First

Last

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) *

Course Date *

Cash or check in class Paying by credit card IN CLASS

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Age/Date of Birth *

Email *

What is your experience with firearms? *

None Some Proficient Extensive

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? *

Submit