Student Registration

1. First & Last Name(required)
2. Phone Number(required)
3. Email(valid email required)

Prior Firearms Safety Training

1. As a prerequisite for this training, we require either completion of the Proactive Shooters’ Basic Firearms Safety class (or equivalent safety class) or being a current Virginia Concealed Handgun Permit holder (prior firearms safety training received from other source)
2. Did you complete the Proactive Shooters' Basic Firearms Safety class or Utah permit class (or equivalent) ? Please enter yes or no(required)
3. Did you complete firearms safety training with another firearms training company or some other source? Please enter yes or no.(required)

Do you have a firearm that you will be training with?

1. If yes, please indicate the make, model and caliber so that we may match you up with the instructor best suited for your type of firearm.

Emergency Contact

1. Name(required)
2. Phone Number(required)

Any additional information that we should know?

1. Additional information: (dates/times that you are available)
2. IMPORTANT - You must click "SUBMIT" to complete your registration. Once your registration has been submitted, a Proactive Shooter's staff member will contact you to set up your appointment.

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