Name *

First Name

Last Name

Phone

(###)

###

####

What platform of firearm are you currently interested in learning more about? *

Pistol

Rifle

Shotgun

What is the main reason you are taking the class you have registered for? *

General Knowledge

Recreational Shooting (Sport)

Personal Protection

Competition

What dates and times best fit your busy schedule? *

Weekday mornings

Weekday evenings

Weekends

Where would you prefer to have Non-Live-Fire training take place?

Private residence

Place of Business

SRT’s office

What is your current level of proficiency with the platform of firearm you seek training on? *

No experience

Some Experience

Proficient but wish to learn more