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Click picture to ZOOMInstructions THIS IS FOR DNR FIREARMS SAFETY ONLY
Please fill out the form below, and click the SUBMIT button at the bottom of the screen to send us your request.
***Please submit one for each student you register.***
If you have any question prior to registering,
Please Leave a message at: 218-969-4921




Your(Parent/Guardian) Name and Address:*
Phone No: *
Youth's 1st Name and 1st 3 letters of last name.
This means: DO NOT ENTER STUDENT FULL NAME:
*
Year of Birth ONLY: *
E-Mail : *
Age of student:*
Can this student have the snack
provided?
any concerns call me or enter in comment section :
*
Students Special Needs?
Do not enter here.
Parent or Legal Guardian will need to be present to fill out Official Registration form in class.
Full Legal name is required!
Mistakes made on this form can and have caused serious issues with Drivers License and Tax issues! :
*
Comments/Concerns/Questions:



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