Test

Your Full Legal Name*

Your Email*

Your Address*

Your Phone Number*

Your Date of Birth*

Your California Driver's License #*

Who is your issuing authority?*
---Ripon PDEscalon PD

Name as you wish it to appear on your course completion certificate*

For CCW Applicants Only:
(please list between 1 and 3 guns to be listed on your completion certificate)

Please list Make, Model, Caliber, and Serial Number
First firearm:
Make
Model
Caliber
Serial#

Second firearm:
Make
Model
Caliber
Serial#

Third firearm:
Make
Model
Caliber
Serial#

If you are going through Ripon PD for your CCW, you can add two more guns here:

Please list Make, Model, Caliber, and Serial Number
Fourth firearm:
Make
Model
Caliber
Serial#

Fifth firearm:
Make
Model
Caliber
Serial#

Statement of No Criminal Record, Mental Illness, or Substance Abuse
By typing my name below, I state that I have no criminal convictions, am not currently under indictment or prosecution for any offense, and am not wanted for questioning or arrest by any law enforcement or government agency. I further state that I have no history of mental illness or substance abuse. I understand that my training may be terminated at any time during the course if my actions are not deemed appropriate by Heida Firearms's staff. I understand that my $75 payment pays for my class and I'll get my certificate emailed to me but otherwise is non-refundablee.

Type Full Name:*

By pressing submit you are also agreeing to pay a $75 fee for the CCW Renewal Class.