Firearms and Tactics LE Training Application
Please complete this form when registering for a course. This allows me to help ensure you get what you need out of the course.
Email address *
Course Title *
Your answer
Course Date (enter first day of multi-day courses) *
MM
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DD
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YYYY
Student Name *
Your answer
Agency
Your answer
Phone (cell or best # for you) *
Your answer
Rank/Position (Patrol Sergeant, SWAT TL, Supervisor, etc.)
Your answer
Badge # *
Your answer
Dominant Hand *
Semi-automatic pistol make, model, and holster (e.g. Glock 19 with Safariland with rotating hood) *
Your answer
M4/AR-15 style rifle make, model, sights and sling type (e.g. BCM Mid16 Mod, irons sights w/Trijicon MRO and VTAC sling)
Your answer
Unique traits (cross-eye dominant, righthand pistol/lefthand rifle shooter, etc.)
Your answer
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