Home
Join Bi State
Important Documents / Forms
>
Board Meeting Minutes
Our Friends Links
Website Dedication
About Us
Our News
>
Days Gone By
See What Happens at Bi State
Hours and Fees
Our Directors
100 Club
Disciplines
Skeet
>
Skeet Safety /Governing Body
Sporting Clays
>
Sporting Clays Safety / Governing Body
Trap
>
Trap Safety / Governing Body
5-Stand
>
5 Stand Safety / Governing Body
Calendar Of Events
Shooters Info
Shotgun Information
Pattern testing
Gun Safety/Etiquette
>
Firearm Safety Videos
Firearm Malfunctions
Ammunition Malfunction
Contact Us
Event
Ask the Board
Get Your Name Out
Thurs. Mar 27 2014 7pm -9pm
REGISTRATION FORM
Limit 200 Students
and Sat. March 29 2014 7:30am - 5:30pm
Free Hunters Safety Course
Registration Deadline
At: Rock Island Conservation Club Tuesday March 15 2014
Big Island Parkway, Milan, IL
PLEASE CHECK SPELLING
Parents Signature required day of class
Use the students legal name (the name on their Birth Certificate) Absolutely no nicknames
*
Indicates required field
NAME (Last)
*
(First)
*
(Middle Initial)
*
AGE
*
Birthdate MM/DD/YY
*
*
MALE
FEMALE
ADDRESS
*
CITY
*
STATE
*
ZIP
*
Phone Number
*
A
parents written signature required for students under 16 years of age. If a parent will not accompany the student to the class you must mail a signed form to us before you are allowed to take the course.
IOWA STUDENTS MUST BRING THEIR SOCIAL SECURITY NUMBER
Does the above applicant have any special needs
*
YES
NO
If so please explain
*
Accepted applicants will be notified by mail about 10 days before class
Do Not Forget To Submit Form
Submit