Course Application – Triple D's Elite Pipes and More

Name *

First

Last

Street Address *

City, State *

Zip Code *

Email *

Phone Number *

Age *

Date of Birth (MM/DD/YYYY) *

Gender *

Drivers License Number *

NRA Number (If you dont't have one, write NONE) *

Which Class Will You Be Attending? *

Do You Need a Firearm or Ammunition? (Check all that apply. Additional $25 Fee for firearm/ammunition) *

Firearm Proficiency

Selected Value: 0

On a scale of zero to ten, 0 being a beginner and 10 being an expert marksman, rate your firearm proficiency.

What Other Classes Would You Be Interested In?

How Did You Hear About Us? *

If You Have Any Questions or Comments, Please Let Us Know Here!