Rcfirearmstraining.us
RENSSELAER COUNTY POST-LICENSE FIREARMS SAFETY PROGRAM CERTIFICATE OF COMPLETION (Please print) Name___________________________________________________________________ Address_________________________________________________________________City, State & Zip__________________________________________________________ Phone Number (____) _____________________________ Course taken at___________________________________________________________ Date________________________________ NYS Pistol License #__________________ License produced and inspected _____ Yes _____ No Photocopy of license supplied _____Yes _____No Firearm used______________________________ Serial number_____________________________ Copies of Penal Law sections 35.15 and 35.20 brought to program _____Yes _____No I certify that I am the student identified herein and that I hold a valid NYS Firearms license referenced above. I further certify that I have brought a copy of NYS Penal Law sections 35.15 and 35.20 provided to me through the application and have fully participated in each portion of this course. Signature_______________________________ Date_________________ Instructor Observations ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Instructor signatures: I/we certify that the above named student has completed the Rensselaer County Firearms Safety program noted herein. (3) Signatures required.____________________________________ ______________________________ ____________________________________ Date__________________________ ................
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