Individual Registration

Thank you for choosing to register for the Colorado CHP Refresher (Unscheduled) course!
Please enter the requested information in the form below to complete the registration process.

First Name *

Last Name *

Organization

Address *

Address 2

City *

State *

Zip *

Country *

Phone *

Email *

Date of Birth (mm/dd/yyyy) *

Gender

NRA Member #

BSA Council Name

BSA Council Member ID

Comments / Notes / Special Requests

Eligibility *

I certify that I am a US Citizen or US Legal Resident; am not prohibited from possession, use, or carrying of a firearm; and am otherwise eligible to participate in this activity.

Payment Information

Coupon

Amount

Discount Amount

Gross Amount

Payment Method *

Offline Payment (PayPal Invoice) Cash Check

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Individual Registration

Payment Information

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2009 Morning Drive
Loveland, CO 80538
(970) 631-8810

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