Safety training course registration

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

Fill out this DNR safety training registration course form completely in order to schedule your safety program course and receive training program course materials and supplies in a timely manner.

* REQUIRED

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)
    Snowmobile Safety (classroom course)
    Snowmobile Safety (Online Field Day)
    Bowhunter Education (classroom)
    Bowhunter Field Day (for online course)
    Advanced Hunter Education (classroom)
    ATV Safety
    Wildlife Species Clinic  

* Instructor Information

Name of instructor: A value is required.

Instructor number: A value is required.

E-mail address: A value is required.

Telephone number: A value is required.

Address:   Number & Street, RFD, Box No. (NO P.O. BOXES) A value is required.

City: A value is required.

State: A value is required.

Zip Code: A value is required.

 

* Training Location

Classroom

Location:

A value is required.

County:

A value is required.

Address:

A value is required.   Number & Street, RFD, Box No.

City:

A value is required.   State: A value is required.   Zip Code: A value is required.

Date:

A value is required.   Time: A value is required.

* Field Day Or Riding Course

Location:

A value is required.

 

* 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)

A value is required.

Ending date:
(mm-dd-yy)

A value is required.

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

A value is required.

Number of classes:
 

A value is required.

Total hours:

A value is required.

 

* Advertise on DNR Webpage

    Yes No


Order Supplies

(Note: instructors must keep orders limited to their class size)

* Number of supplies needed (if no supplies needed, enter 0):

A value is required.

Number of exam books needed:
(upon request only)

USB Flash Drive:
(request only for the class you are teaching)

 

FAS Classroom PPT Presentation USB Flash Drive

    Yes No

Snowmobile Classroom PPT Presentation – USB Flash Drive

    Yes No

Bow Hunter Educ. Classroom PPT Presentation USB Flash Drive

    Yes No

Turkey Clinic PPT Presentation USB Flash Drive

    Yes No

Bear Clinic PPT Presentation USB Flash Drive

    Yes No

 


Additional comments or special request:

 

If you do not see a confirmation page after you submit, please scroll back through the page and fill in any missing information.

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