Student Registration Form
Fill out the form carefully for registration
Student Name
*
Prefix
First Name
Last Name
Suffix
Birth Date
Please select a month
January
February
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Month
Please select a day
1
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31
Day
Please select a year
2026
2025
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1925
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1923
1922
1921
1920
Year
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
*
example@example.com
Mobile Number
*
Work Number
Company/Department (Optional)
Courses
*
Please Select
NRA Basic Pistol
NRA Basic Rifle
NRA CCW (Not all states accept)
Basic Pistol Instructions (Non-NRA)
Basic Rifle Instructions (Non-NRA)
Advanced Tactical Pistol
Advanced Tactical Rifle
Advanced Rifle/Pistol Blend
CQB Training
1 on 1 Pistol
1 on 1 Rifle
1 on 1 Pistol/Rifle Blend
Appointment (You will be notified if Date and Times are available Via email)
*
What is your background
*
Military
Law Enforcement
Federal Law Enforcement
Security
Security Contractor
Civilian
Other
What shooting experience do you have?
*
Have you worked with other instructors?
*
Yes
No
If YES, please provide who.
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All "1 on 1" Courses require 2 hours minimum
$
90.00
Quantity
Price
NRA Pistol
1
2
3
4
5
6
7
8
9
10
$
90.00
NRA Rifle
1
2
3
4
5
6
7
8
9
10
$
120.00
Basic Pistol (Non-NRA)
1
2
3
4
5
6
7
8
9
10
$
65.00
Basic Rifle (Non-NRA)
1
2
3
4
5
6
7
8
9
10
$
75.00
Advance Tactical Pistol
1
2
3
4
5
6
7
8
9
10
$
110.00
Advance Tactical Rifle
1
2
3
4
5
6
7
8
9
10
$
135.00
Advance Tactical Pistol/Rifle (Blend)
1
2
3
4
5
6
7
8
9
10
$
165.00
1 on 1 Pistol (Per Hour)
1
2
3
4
5
6
7
8
9
10
$
35.00
1 on 1 Rifle (Per Hour)
1
2
3
4
5
6
7
8
9
10
$
45.00
1 on 1 Pistol/Rifle (Per Hour)
1
2
3
4
5
6
7
8
9
10
$
55.00
Basic Gun Safety & Security Consulting
1
2
3
4
5
6
7
8
9
10
$
175.00
Two Day LTC Course
1
2
3
4
5
6
7
8
9
10
$
375.00
Security Tactics Course
1
2
3
4
5
6
7
8
9
10
$
75.00
Item subtotal:
$
0.00
Credit/Debit Card
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