Safety training course registration

This safety training course registration and supply order form
is to be completed by DNR certified volunteer safety instructors only.

Use this form to schedule your training sessions and/or order supplies for pre-arranged safety training classes.

Please complete the entire form.

Course Registration

Type of course

    Youth Firearms Safety (classroom)
    Youth Firearm Safety -- Field Day (for online course)
    Adult Firearms Safety Field Day (18 years and older)
    Youth Snowmobile Safety (classroom)
    Youth Snowmobile Safety (CD option)
    Bowhunter Education (classroom)
    Bowhunter Field Day (for online course)
    Advanced Hunter Education (classroom)
    ATV Safety
    Wildlife Species Clinic  

Instructor Information

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:

 

Training Location

Name of meeting place:

County:

Meeting address:

  Number & Street, RFD, Box No.

City:

  State:   Zip Code:

 

Class Day

Classes will be held each: (Please select all that apply)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

 

Class Dates

Beginning date:
(mm-dd-yy)

Ending date:
(mm-dd-yy)

Time of day:
(hh:mm AM/PM)

Number of classes:
 

Total hours:

 

Advertise on DNR Webpage

    Yes No

Order Supplies

Number of supplies needed:

  

Number of exam books needed:
(upon request only)

  

Number of CDs needed:
(upon request only)

ATV Student CDs
 

Snowmobile Student CDs
 

FAS Classroom PPT Presentation CDs
 

Bow Hunter Educ. Classroom PPT Presentation CDs
 

Turkey Clinic PPT Presentation CDs
 

Bear Clinic PPT Presentation CDs

 

Additional comments or special request:

 

  

 

Instructors: Contact your local Conservation Officer to Schedule date to attend your class. This link will bring you to the current Conservation Officer directory This is a PDF file. You will need Adobe Acrobat Reader to download it.

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
(questions/comments) 1-800-366-8917 extension 2238

 

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