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.

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

Classroom

Location:

County:

Address:

  Number & Street, RFD, Box No.

City:

  State:   Zip Code:

Date:

  Time:

Field Day Or Riding Course

Location:

County:

Address:

  Number & Street, RFD, Box No.

City:

  State:   Zip Code:

Date:

  Time:

 

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

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

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