Registration Information

To begin the registration process fill in and submit the form below.

A check or money order may be mailed to confirm your online registration. Credit card payments may be made in person or by calling the range during normal operating hours. Full payment must be received to keep your registration. All registration is made on a first come, first served basis. If you preregister for a class and do not complete payment, you may lose your seat in the class. If you preregister for a class that fills prior to your payment being received, you will be placed on a standby list to receive cancelled reservations. If a seat does not become available for the class you requested, you have priority placement in the next class we offer that meets your schedule availability. Class fees must be paid in advance to reserve a seat in class and are not refundable. If you are unable to attend after completing registration, the fees may be applied to another class for yourself or someone else.

	RED * = Required Field
Title	-- Mr. Mrs. Ms. Dr. Rev. Prof. Officer Det.
* First Name
* Last Name
* E-mail
* Verify E-mail
* Address 1
Address 2
* City
* State	-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zip
Phone	( Example: 555-555-5555 )
Cell	( Example: 555-555-5555 )
NRA Member	( Enter member number if you are an NRA member)  Find Member Number on magazine label
Membership Options	I am interested in registering for one of the following Memberships: ( Select the one Membership package that best suits your needs )
	Individual Membership - $250 per year
	Family Membership - $375 per year
	LE/Mil Individual Membership - $200 per year
	LE/Mil Family Membership - $325 per year
	Associate Membership - $75 per year plus $20 per visit
	Individual Life Membership - $999
	Family Life Membership - $1499
Civilian Training	I am interested in registering for the following Civilian Training courses: ( Select the DATES of all courses for which you are registering )
Interested?	-- Feb 18 - Standby Mar 3 - Standby Mar 15 - 6-9PM Apr 7 - 4-7PM Apr 19 - 6-9PM May 5 - 9AM-12PM May 17 - 6-9PM Jun 2 - 4-7PM Jul 7 - 9AM-12PM Jun 21 - 6-9PM Jul 19 - 6-9PM Aug 4 - 4-7PM Aug 16 - 6-9PM Sep 1 - 9AM-12PM Sep 20 - 6-9PM Oct 6 - 4-7PM Oct 18 - 6-9PM Nov 3 - 9AM-12PM Nov 15 - 6-9PM Dec 1 - 4-7PM Dec 20 - 6-9PM First Shots Course - -- 1 2 3 4 5 6 7 8 9 to Attend
	-- Feb 6-9 - Standby if full Mar 10-11 - Standby Apr 9-12 - 5:30-9:30p May 12-13 - 9a-5:30p Jun 11-14 - 5:30-9:30p Jul 14-15 - 9a-5:30p Aug 6-9 - 5:30-9:30p Sep 8-9 - 9a-5:30p Oct 8-11 - 5:30-9:30p Nov 10-11 - 9a-5:30p Dec 10-13 - 5:30-9:30p Carrying a Concealed Weapon (see note below)
	-- Jan 28, 2012 - 9:00a Feb 6 - 5:30p Mar 10 - 1:30p Apr 11 - 5:30p May 12 - 1:30p Jun 13 - 5:30p Jul 14 - 1:30p Aug 8 - 5:30 Sep 8 - 1:30p Oct 10 - 5:30p Nov 10 - 1:30 Dec 12 - 5:30 CCW Legal Update - CHL Required!
	-- Feb 18 - 4 PM Mar 1 - 6 PM Mar 17 - 4 PM Apr 5 - 6 PM Apr 21 - 4 PM May 3 - 6 PM May 26 - 4 PM Jun 16 - 4 PM Jul 21 - 4 PM Aug 18 - 4 PM Sep 14 - 4 PM Oct 4 - 6 PM Oct 20 - 4 PM Nov 1 - 6 PM Nov 17 - 4 PM Dec 6 - 6 PM Dec 15 - 4 PM Basic Handgun Safety and Familiarization (see note below)
Five-Class Special Handgun 1-5 only $299! Save $96!	-- Jan 18 - 6-10p Apr 14 - 5-9p Jul 12 - 6-10p Oct 13- 5-9p Handgun 1 - Mastering Marksmanship Fundamentals
	-- Jan 26 - standby Jan 28 - 6-10p Apr 28 - 5-9p Aug 2 - 6-10p Oct 27 - 5-9p Handgun 2 - Barricade & Relative Position Shooting
	-- Feb 11 - 4-8P Feb 23 - 6-10p May 19 - 5-9p Aug 23 - 6-10p Nov 24 - 6-10p Handgun 3 - Move and Shoot
	-- Feb 25 - 4-8p Mar 8 - 6-10p Jun 9 - 5-9p Sep 6 - 6-10p Dec 8 - 5-9p Handgun 4 - Low-Level Light
	-- Mar 10 - 6-10p Mar 22 - 6-10p Jun 23 - 5-9p Sep 27 - 6-10p Dec 22 - 5-9p Handgun 5 - Spontaneous Assault
Four-Class Special TPD 1-4 only $225! Save $51!	-- Pending Total Personal Defense Level 1
	-- Pending Total Personal Defense Level 2
	-- Pending Total Personal Defense Level 3
	-- Pending Total Personal Defense Level 4
	-- Interested! Simfire Shootout
	Tactical Rifle and Shotgun Classes - Register at SimTrainer
Private Security Training	I am interested in registering for the following Private Security Training courses: ( Select the DATES of all courses for which you are registering )
	N/A Feb 20-23, 2012 Private Security Firearms Basic 20-Hour Course
	N/A Feb 24, 2012 Private Security Mandatory Firearms Requalification
Police Training	I am interested in registering for the following Police Training courses: ( Select the DATES of all courses for which you are registering )
	N/A Interested! Multi-Agency State Mandated Firearms Re-Qualification Course
	N/A Interested! Defensive Tactics Refresher
	N/A Interested! Force Options Less-Lethal Re-certification
	N/A Interested! Taser Instructor Certification
	N/A Interested! Taser X-26/M-26 Certification
	N/A Interested! Critical Incident Management for First Line Supervisors
	N/A Interested! Interview and Interrogation
	N/A Interested! DUI / SFST Certification
	N/A Interested! Instructor Development
	N/A Interested! Simulation Instructor Development
	N/A Interested! Diagnosing & Correcting Shooting Errors
	SimTrainer may contact me via: ( Select all that apply )
	Phone
	E-mail
	Mail
Comments or Questions Note:	For CCW  and Basic Handgun classes, please enter make, model, and caliber of gun you intend to use, or tell us if you plan to use a range gun.
Payment Code	If you are paying with a gift certificate or have some other payment or discount code, please enter the certificate number or code here.

CleanFire ammo is now required for the league and all live-fire classes to reduce airborne contamination from lead-based primers. Because we stand downrange during the leagues and some classes, the airborne lead compounds are not pulled out of the range as completely as they are when shooting from the booths during normal operations. This is a serious health risk for shooters, instructors, and range officers. Ammunition purchased at the range will meet this requirement. If you bring your own ammunition, ensure it has lead-free primers and powders with FMJ or TMJ bullets. Examples of suitable ammunition are Speer CleanFire (CF in the product name) and Winchester "WinClean" ammo with FMJ or TMJ bullets.