Shooting Questionnaire

Full name as it appears on your passport ( First, middle, last)

Nickname:

DOB:

Birth place (city/state/country):

Gender (M/F):

Passport #:

Country of issue:

Date issued:

Exp. Date:

Type of client:

Shooter Non-shooter

CONTACT INFORMATION

Address:

City & State:

Postal/zip code:

Phone:

Other phone

E-mail address:

Address:

Emergency Contact

Name:

Relationship:

Phone #:

Cell:

Personal Information

Medical conditions:

Allergies:

Dietary restrictions:

Physical limitations:

Special request:

Other:

Gun Information- It MUST be accurate, please take extreme care in completing this section.

Renting a gun:

Yes No

Bringing guns:

Yes No

Make - NO.1

Model

Gauge

Serial Number

Barrel Length

Make - NO.2

Model

Gauge

Serial Number

Barrel Length

Make - NO.3

Model

Gauge

Serial Number

Barrel Length

Please attach your scanned copy of your Passport

Accept the terms

Thank You!