NCCSC

Username *

Email Address *

First Name *

Last Name *

Middle Initial

Spouse Name

Street Address *

City *

State *

Zip Code *

Phone Number *

Occupation *

License Plate Number *

NRA Membership Number *

Are you active duty in military? Are you active duty in military?

NCCSC Sponsor First Name *

NCCSC Sponsor Last Name *

NCCSC Sponsor Phone Number

Have you read and agreed to the terms of the Hold Harmless Agreement and have you read, understood, and do you acknowledge the Range Rules and Range Etiquette?
* Have you read and agreed to the terms of the Hold Harmless Agreement and have you read, understood, and do you acknowledge the Range Rules and Range Etiquette?

Registration confirmation will be emailed to you.