Class #: CB052666
Class: Dec. 5, 2009 (9am-3pm) NBEF Distance Learining Field Day for Archery only. Jerry's Archery-Ocala
County: MARION

Enter your first, middle initial, and last name. This is a legal document, no nicknames allowed. Enter your birth date, gender, and phone number and email address. Click on the Send Request button at the bottom when finished. Each family member must complete a separate registration. Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

First Name	Middle Initial
Last Name
Mailing Address
City	State Zip -
County	--Choose-- STATEWIDE ALACHUA BAKER BAY BRADFORD BREVARD BROWARD CALHOUN CHARLOTTE CITRUS CLAY COLLIER COLUMBIA MIAMI-DADE DE SOTO DIXIE DUVAL ESCAMBIA FLAGLER FRANKLIN GADSDEN GILCHRIST GLADES GULF HAMILTON HARDEE HENDRY HERNANDO HIGHLANDS HILLSBOROUGH HOLMES INDIAN RIVER JACKSON JEFFERSON LAFAYETTE LAKE LEE LEON LEVY LIBERTY MADISON MANATEE MARION MARTIN MONROE NASSAU OKALOOSA OKEECHOBEE ORANGE OSCEOLA PALM BEACH PASCO PINELLAS POLK PUTNAM ST. JOHNS ST. LUCIE SANTA ROSA SARASOTA SEMINOLE SUMTER SUWANNEE TAYLOR UNION VOLUSIA WAKULLA WALTON WASHINGTON UNKNOWN OUT-OF-STATE
Gender	-- Select Gender -- Male Female
Day Phone Number	- - Extension
Other Phone Number	- - Extension
Birth Date (MM/DD/YYYY)	Under 18 click here (Opens a new window)
Email Address
	Court Order prohibits me from handling firearms.

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