Register Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.First Name *Middle NameLast Name *Suffix (Ex. Jr., II, III) Alien the if Maiden NameName you go byResidence Address *City *State *Zip *County *Social Security # (you can send to me via phone or text, if desired)DL/ID Card # *Alien # (Green Card number, if applicable)Date of Birth (YYYY/MM/DD) *Place of Birth (City, State) *Race *A = AsianB = BlackW = WhiteI = American IndianU = UnknownHeight *Weight *Eye Color *BRO = BrownBLU = BlueGRN = GreenHAZ = HazelMUL = Multi-ColoredHair Color *BLD = BaldBLK = BlackBLN = BlondeBRO = BrownRED = RedGRY = GrayWHI = WhiteXXX = UnknownHome PhoneBusiness PhoneCell PhoneEmail *Are you a SC resident or qualified non-resident? *YesNoAre you allowed by ALL applicable federal/state laws and court orders to possess a handgun? *YesNoCheck if any of the following applyDisabled VeteranRetired/Former MilitaryActive MilitaryRetired Law EnforcementActive Law EnforementDo you have a pistol for the class? *YesNoIf yes, please indicate make, model & caliberDo you have a pistol specific holster?YesNoIf yes, please describe construction typeSpecial NeedsIf you have any special needs, or physical, medical, mental, or other condition that might require accommodations or of which we need to be aware, please let us know in writing below. These things DO NOT preclude you from taking this course, but knowing about any issues can help us better meet your needs and help you get the most out of the course. Examples: diabetes, epilepsy, asthma, heart conditions, problems gripping (arthritis, missing or malformed digits, etc.), problems standing (require wheelchair/cane/walker, etc.), attention issues, prior traumatic experience with firearms or violence, hearing issues, etc.Emergency Contact (Name, Phone No. & Relationship)Submit