Form
Training Request Form
This helps me know what classes to teach and how soon. Currently, I'm only teaching pistol courses and have no interest in doing shotgun or rifle courses. If you have friends or family who would be interested in training, please send this to them- James https://www.eagledefensetrng.com/
Name
First Name
Last Name
Email
example@example.com
What classes are you interested in?
Basic RST (unarmed)
Basic RST (armed)
CCW initial
CCW renewal
BSIS Exposed permit initial
BSIS Exposed permit renewal
Pistol Intro (4 hours)
Pistol Intro (6ish hours)
Pistol Intro (8 hours)
Beginning Defensive Pistol (6-8 hours)
Intermediate Defensive Pistol (6-8 hours)
Advanced Defensive Pistol (6-8 hours)
CCW/BSIS Active Shooter Response (6-8 hours)
Basic CCW Skills (6-8 hours)
First Aid / CPR / AED Initial Class
FA / CPR / AED Refresher
Other
Please describe your "Other"
Pick your first priority
Basic RST (unarmed)
Basic RST (armed)
CCW initial
CCW renewal
BSIS Exposed permit initial
BSIS Exposed permit renewal
Pistol Intro (4 hours)
Pistol Intro (6ish hours)
Pistol Intro (8 hours)
Beginning Defensive Pistol (6-8 hours)
Intermediate Defensive Pistol (6-8 hours)
Advanced Defensive Pistol (6-8 hours)
CCW/BSIS Active Shooter Response (6-8 hours)
Basic CCW Skills (6-8 hours)
First Aid / CPR / AED Initial Class
FA / CPR / AED Refresher
Pick your second priority
Basic RST (unarmed)
Basic RST (armed)
CCW initial
CCW renewal
BSIS Exposed permit initial
BSIS Exposed permit renewal
Pistol Intro (4 hours)
Pistol Intro (6ish hours)
Pistol Intro (8 hours)
Beginning Defensive Pistol (6-8 hours)
Intermediate Defensive Pistol (6-8 hours)
Advanced Defensive Pistol (6-8 hours)
CCW/BSIS Active Shooter Response (6-8 hours)
Basic CCW Skills (6-8 hours)
First Aid / CPR / AED Initial Class
FA / CPR / AED Refresher
Pick your third priority
Basic RST (unarmed)
Basic RST (armed)
CCW initial
CCW renewal
BSIS Exposed permit initial
BSIS Exposed permit renewal
Pistol Intro (4 hours)
Pistol Intro (6ish hours)
Pistol Intro (8 hours)
Beginning Defensive Pistol (6-8 hours)
Intermediate Defensive Pistol (6-8 hours)
Advanced Defensive Pistol (6-8 hours)
CCW/BSIS Active Shooter Response (6-8 hours)
Basic CCW Skills (6-8 hours)
First Aid / CPR / AED Initial Class
FA / CPR / AED Refresher
When would you like to take a class?
Within the next 30 days.
Within the next 60 days.
Within the next 90 days.
4 months or longer
What months do you prefer to train in? (outdoor training)
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
Any month
What day of the week works best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Where would you prefer to train?
Bay area
Sacramento area
If you have or want a CCW, what county is it in or what county do you live in?
Current or former US military? (Sometimes I do free training with Work For Warriors)
Yes
No
Submit
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