You are on page 1of 5

Illinois Concealed Carry Training

Course Registration

Please fill in all information listed, failure to complete all sections of this form may result in you being refused admission to any certified training course. Please ensure all answers are truthful and accurate. Phone Number _________________________ Name (Last, First Middle): _______________________________________________

Current Address:

City:

State:

Zip: _______

Weapon Make:

Model: ______________

SN

FOID #

____________________________

Experience with firearms: ____________________________________________________________________

I wish to enroll in the following class(s)

- 16 hour IL Concealed Carry Training ($175.00) - 8 hour IL Concealed Carry Training ($125.00)
-
16 hour IL Concealed Carry Training
($175.00)
-
8 hour IL Concealed Carry Training
($125.00)
-
3 hour IL Concealed Carry Renewal
($100.00)
-
2 hour Intro to Handguns Training
___
($100.00)
-
On Site Fingerprinting Services
___
($70.00)
-
Convenience Package*
___
($50.00)
(*We send in all docs. to the state and handle any modifications of paperwork that may arise.)

DATES REQUESTED: ____________________________________

NOTE

All applicants that wish to receive prior learning credit must meet state approved criteria. Those specific exemptions are attached to this document. If applicants only have a 4 hour exemption then a discounted rate will be applied to the 16

hour course, and applicants will be required to attend the FULL 16 hour course. YOU MUST HAVE A VALID FOID CARD TO TAKE THESE CLASSES APPLICANTS WILL BE DENIED WITHOUT A FOID CARD An introduction to handguns course is HIGHLY recommended for first time shooters or shooters who have little experience or training with their weapon. All students attending class must participate in a 4 hour Range Training Day consisting of live fire drills, concealed carry fundamentals and qualifications. Students must have a minimum of 150 rounds ammunition for training. Students must have proper range attire suitable for all outdoor weather situations, this should include but is not limited to: good shoes or boots, durable pants with pockets large enough to hold magazines and ammunition, eye and ear protection, arctic or rain gear if necessary, or any combination there off. WE WILL TRAIN REGARDLESS OF BAD WEATHER prepare accordingly. Tuition is non refundable and must be sent in with this registration form no later than 10 business days prior to the class. Attached is a list of available dates, please indicate which dates you’re interested in. All training is on a first come first serve basis.

MAIL TO: Hoopeston Shooting Range INC 1121 S. Dixie Hwy Hoopeston IL 60942 ATTN: CCL

Course Title Acceptable Credit

Illinois Hunter Safety Course 4 hours Utah Concealed Carry 4 hours Florida Concealed Carry 4 hours
Illinois Hunter Safety Course
4
hours
Utah Concealed Carry
4
hours
Florida Concealed Carry
4
hours
Nevada Concealed Carry
4
hours
Missouri Concealed Carry
4
hours
Kentucky Concealed Carry
4
hours
Michigan Concealed Carry
4
hours
Chicago Firearms Safety Course
4
hours
NRA Basic Pistol
8 hours
NRA Personal Protection in the Home
8
hours
NRA Personal Protection Outside the Home
8 hours
Active, Retired, or Honorably Discharged member of the US
8 hours
INSTRUCTOR:

Jeramy R. Dobkins Owner/ Operator Hoopeston Shooting Range INC 1121 S. Dixie Hwy Hoopeston IL 60942

217-304-9010