Safety training course registration

Please complete the entire form.

Type of course

Firearm
Snowmobile
Adult Snowmobile
Bowhunter
Advanced Hunter
ATV
Clinic and type 

Name of instructor:
Instructor number:   
E-mail address:
Telephone number: (e.g. 612-555-1212)
Address:   Number & Street, RFD, Box No. (NO P.O. BOXES)
City:     State:   Zip Code:

Name of meeting place:
County:
Meeting address:   Number & Street, RFD, Box No.
City:   State:   Zip Code:

Number of supplies needed:

Number of tests needed:

Advertise on Internet and/or Automated Line

Yes
No

Classes will be held each:

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Beginning date (Month-Date-Year; e.g. mm-dd-yy):
Ending date (e.g. mm-dd-yy):
Time of day (e.g. 1:00PM):
Number of classes:
Total hours:
Additional Comments:

Instructors who require a Conservation Officer to speak with their class should contact the Conservation Officer at this time to arrange a date and time that is convenient for both parties.

NOTE: SUPPLIES WILL BE SHIPPED DIRECTLY TO THE INSTRUCTOR. ALLOW AT LEAST 30 DAYS FOR DELIVERY.

Minnesota DNR Safety Training, 15011 State Hwy 115, Little Falls, MN 56345-4173