Test Personal Information Your Full Legal Name* Your Email* Your Address* Your Phone Number* Your Date of Birth* Your California Driver's License #* Class information 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.