Course Sign Up

*Email

* Phone Number

* Address Line 1

Address Line 2

*State

*Zip Code

* Date of Birth

*If currently in possession of valid MGL firearms licenseN/ALTDFID

*If applicable, which type of license are you applying for? N/ALTDFID

Date and Location of Course you’d like to attend

What other type of course are you interested in?

By checking this box and typing my name below, I am electronically signing my application, and agree that my submitted data is collected and stored.

*Name

*Date