Please fill out the application form completely and accurately. A mandatory criminal background check is required. This check must be completed prior to your visit.

* Means Required Field:

*First Name
*Last Name
Middle initial
*Address 1
Address 2
Apt #
*Contact Ph #
*Date of Birth
*Proof of ID
(enter number)
Group Leader Email
[Only approvals will be copied to Group Leader if entered]
I consent to Westside Rifle & Pistol Range and/or its agents or vendors conducting a criminal background check on me using the information I have supplied in this application.