Law Enforcement Training Signup

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Please note: This class is currently full but if you would like to register, you will be placed on the waiting list and be notified if there are openings.

Sign Up for Handgun and Rifle Instructor Training w/MRDS

Employer Contact Information

Employer*

Title*

First Name*

Last Name*

Phone Number*

Street Address*

PO Box

City*

State*

Zip Code*

Email Address*

Student Information: Student 1

First Name*

Last Name*

Email Address

Student Information: Student 2

First Name

Last Name

Email Address

Student Information: Student 3

First Name

Last Name

Email Address

Student Information: Student 4

First Name

Last Name

Email Address

Billing Information (check one)

Bill Agency - Agency will be billed upon completion of training.

Self Pay - Invoice will be sent to student's home address.

Authorization

By checking yes, I confirm that all of the information I have filled out is accurate.

Yes