AK 4-H Shooting Sports Level 1 Instructor Training
Alaska 4-H State Shooting Sports is offering a Level 1 Instructor training in both the shotgun and pistol disciplines.

Please register by January 20, 2020.

Registration cost is $75 per discipline. You may register for one or both of the disciplines.

Registration fees included: curriculum book, range and meeting room fees.
A payment of $20 (+ fees) online module cost is separate and paid with a credit card when enrolling in that course. Link is at the end of this form.

Event Dates: January 25th-26th, 2020
Event Times: Saturday: 10:00am-9:00pm, Sunday: 10:00am-7:00pm

Day: Shotgun range (start at 10am): Rabbit Creek Shooting Park,15222 Seward Hwy, Anchorage, AK 99503 and
Day: Air Pistol range (start at 10am): UAF Matanuska Experiment Farm and Extension Center, 1509 S. Georgeson Rd., Palmer, AK 99645
Evening Saturday (7:00pm-9:00pm: required for both disciplines and open to all shooting sports leaders): UAF Matanuska Experiment Farm and Extension Center, 1509 S. Georgeson Rd., Palmer, AK 99645

Contacts: Patty millerrabbits73@gmail.com or Darren darren.snyder@alaska.edu

Criteria for inclusion in this class:
1. you must be an approved and active 4-H adult volunteer in 4HOnline by 01/20/2020
2. you must have completed the 4-H Shooting Sports online modules by 01/20/2020.

Links for these required items are at the end of this form.
Email address *
First Name *
Your answer
Last Name *
Your answer
4-H Club *
Your answer
Alaska 4-H District *
In which discipline(s) are you interested in participating? Each certification will take a 1 entire day (10am-7pm). You can choose both Shotgun and Pistol, just choose the opposite days for them. *
Please tell us why you would like to be certified as a 4-H Shooting Sports Level 1 instructor. *
Your answer
Do you need special accomodations of which we need to be aware? Dietary or otherwise? *
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