Online Course Registration

For a printable version of the registration form, click here. (.doc)

* = Required

* First Name:

* Middle Name:

* Last Name:

* Date of Birth (M/D/Y):

* Gender:

You only need to fill out either: Drivers License Number, Firearms Number, MDNR Number or Social Security Number (not all).

* Drivers License Number: or:

* Firearms Number: or:

* MDNR Number: or:

* Social Security Number: * for identification purposes only

* Telephone Number:

* Complete Mailing Address (No. & Street, RFD, and/or PO Box No, City, State, Zip Code):

* Height (feet/inches):

* Weight (lbs):

* Eye Color:

Email:

* County: