WANT TO HOST A COURSE? Host Course Request Form Civilian Course Host Request Point of Contact Information POC Name * Name of person requesting and organizing the hosting of this course First Name Last Name POC Phone * Point of contact's phone number (###) ### #### POC Email * Point of contact's email address Course Information Training Courses * Select which training course you would like to host. Handgun Level 1 Handgun Level 2 Handgun Level 3 MS Enhanced Concealed Carry Women's Introduction to Handgun Tactical Shotgun Rifle Level 1 Rifle Level 2 Who will this course be available to? * Please select who this course will be open to. Open to public Closed course for private group Open only to Security Guards Open only to Bail Enforcement Agents 1st Preferred Host Date * Please give us your preferred date to host the course. MM DD YYYY 2nd Preferred Host Date * Please give us your 2nd preferred course date, in the event your 1st choice isn't available. MM DD YYYY 3rd Preferred Course Date Please give us your 3rd preferred date to host the course MM DD YYYY Training Site Information Name of Training Site Please give the name of the training site, if it has one. Training Site Address * Please give the address of the training site. Address 1 Address 2 City State/Province Zip/Postal Code Country Training Site Type * Please select the training site type that applies. Commercial Shooting Range Private Shooting Club Personally Owned Private Land Other Shooting Range Type * Please select the shooting range type that applies. Indoor Shooting Range Outdoor Shooting Range Contact Name for Training Site Give the name of the person who owns or manages the training site if someone other than the POC First Name Last Name Training Site Contact's Phone # Please give the phone # for the training site's contact person if different from the POC (###) ### #### Training Site Contact's Email Please give an email address for the Training Site's contact person if different from the POC Additional Information Please tell any additional information we should know. Also tell us how many shooting lanes are available on the range, and the maximum shooting distance of the range. Thank you! We will contact you soon. CIVILIAN TRAINING COURSES NRA Refuse To Be A Victim® Seminar $35.00 Mississippi Enhanced Concealed Carry Permit Course from $42.50 Sale Mississippi Defensive Carry & Firearm Safety Seminar $35.00 Women's Introduction to Handgun Course from $60.00 Introduction to Handgun Course from $60.00 Handgun Level 1 Course from $42.50 Sale Handgun Level 2 Course from $42.50 Handgun Defender Course from $42.50 Limited Availability Tactical Shotgun Course $185.00 Rifle Level 1 Course $185.00 Rifle Level 2 Course from $42.50 Security Assessment & Strategies for Houses of Worship $0.00 Active Shooter Response Course $35.00 Limited Availability Deltac Training & Apparel Gift Card from $35.00 “If you train HARD, you’ll not only be hard, you’ll be HARD TO BEAT.”— Herschel Walker
