HIGH IMPACT DEFENSE, LLC

Class Registration

Registering for our classes is easy.  You may either register for our classes at www.nrainstructors.org or you may register by completing the class registration form below.

Class Registration Form

Please complete all class registration information to ensure you class seat is reserved. 

It is very helpful for us to know and understand your experience with using firearms as it helps us tailor our classroom and range training to be suit your needs.
 
Therefore below please provide us with your firearms experience by providing us a score of 1 to 5, with 1 representing that you have never fired a firearm to 5 representing that you have fired a firearm greater than 25 times.

The information provided on this registration form will be used to register your successful completion of our classes with the NRA.

 Have you taken a course with HID Before? YesNo
Course Title:
Course Date:
First Name: *
Last Name: *
Street Address: *
City: *
State: *
Zip Code: *
Best Contact Number: *
Secondary Contact Number:
Firearms Experience (1 to 5): *
Email: *
Date of Birth (required by NRA): *
NRA Member Number:
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