Web Site Bogie Firearms Academy Registration Form Please use the form below to help us understand what kind of training you are looking for and how we can best suit your needs. All information provided is 100% secure and kept confidential. Full Name (First, Last) * Email Address * Phone * Address 1 * Address 2 City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== 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 Code * Date Of Birth * Currently, what kind of experience do you have with firearms? * Are You A US Citizen? * Yes No Have you ever been convicted of any domestic violence in any jurisdiction? * yes no Have you ever had a firearms license or permit refused or revoked? * yes no Do you have any conditions that may make it hard to use a firearm? * yes no Do you have any physical disabilities that require accommodation? * yes no Was there a specific class or course that you were interested in taking? * Date of the specific class of interest? What kind of additional training were you interested in exploring? * Basic Pistol, Rifle or Shotgun Intermediate Pistol, Rifle or Shotgun Junior Programs Defensive Courses (firearm) Competitive Shooting Advanced Level Courses Archery Women's Pistol, Rifle or Shotgun Private/Individual Instruction Weekly Practice Leagues Any additional information you feel we should know or comments you have?