NRA FIRST Steps Rifle Class:  Saturday, June 22, 2019, from 4:30pm - 9:30pm
Please Complete this Pre-Registration Form for the Santa Clara Valley Rifle Club's NRA FIRST Steps Course on Saturday, June 22, 2019, from 4:30pm - 9:30pm.
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Parent / Guardian Information:
Parent/Guardian Full Name *
Parent/Contact Phone Number *
Parent/Contact Email *
Street Address *
City *
State *
Zip Code *
Class Participant Registration Information
Student's First Name *
(Please enter the exact name you wish to have printed on your completion certificate)
Student's Middle Name or Initial
(Please enter the exact middle name or initial if you wish to have it printed on your completion certificate)
Student's Last Name *
(Please enter the exact name you wish to have printed on your completion certificate)
Student's Age (must be 10 - 17 to participate) *
Note on Ages:  13 & under one parent/guardian is required to attend with the student; 14 & up one parent per kid may attend (optional)
Date of Birth *
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Student's Sex *
Is Student Left or Right Handed?
Describe Student's Prior Shooting Experience
What kinds of shooting experiences has the student had with rifles, pistols or shotguns? *
How did you learn about this class?
Did you find us by a  web search, friend, rifle club member, or other?
Student's NRA Membership Information (if applicable)
Please include NRA membership card number, expiration date and participation information -- if applicable.
NRA Number
NRA Membership Expiration Date
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Member of NRA Club
Name of NRA Club Student Attends
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