Center Target Sports - Class Registration

Date(s): Tuesday, August 21, 2012
Time: 9:00 AM
Location:
Center Target Sports
Main Classroom
3295 E. Mullan Ave.
Post Falls, ID 83854

*	asterisked fields are required
First Name:*
Middle Name:
Last Name:*
Registration Type	Regular ($ 50.00) Senior ($ 45.00)
Address:
Address2:
City/State/Zip:
Email:*
Home Phone:
Work Phone:
Mobile Phone:
If you have a concealed weapons permit for Washington, Idaho or both, please enter the expiration dates below:
WA:
ID: