NRA Training Counselor Course Registration Form

This is an application to attend the NRA Training Counselor Course.

Please enter the desired location in the Notes field below.

Course fee is normally $270 - the TCWS scheduled for Jan, '05 in Seattle is $150.

Please fill out the application below.

Instructor Name:
Instructor ID Number:
Email:
Mailing Address:
City:
State:
Zip:
Daytime Phone:
Evening Phone:

Disciplines You are Certified To Teach
Number of NRA Basic Firearm Training Courses held/students trained during the past two years:
(Example: two rifle courses with a total of 17 students would be "Rifle 2/17")
Rifle
Pistol
Shotgun
FIRST Steps Rifle
FIRST Steps Pistol
FIRST Steps Shotgun
Muzzleloading Rifle
Muzzleloading Pistol
Muzzleloading Shotgun
Training Counselor
Personal Protection
Home Firearm Safety
Reloading Metallic Cartridges
Reloading Shotgun Cartridges
Range Safety Officer
Were you the chief instructor for any of the above courses?
If yes, how many?
Date of last NRA Basic Firearm Training Course you taught:
Comments?

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