Rocky Mountain Combat Applications Training

Firearms Weekend Class Application
(Click Here to learn more about this special firearms course.)

This is the application form for the RMCAT
Firearms-Only Weekend Course. If you are applying 
for the RMCAT Basics / Firearms / Peyton's Favorite
Techniques classes
, please click HERE to go to the 
application form for those classes.


Name
  AGE Height
ADDRESS
Weight   Sex
CITY
STATE   ZIP
PHONE #
FAX
(e-mail)

 
 


Please Select Your Desired Course:



1) Please explain your goals in taking this course?



2) What Previous experience do you have in firearms? (Please list all weapons you have a knowledge of.)

 

3) Do you hold a CCW (Concealed Weapons Permit)?

(Check box if Yes.)

 3a) If you hold a CCW, what model of gun do you carry?



4) Have you ever been, or are you now, a law enforcement officer?

(Check box if Yes.)



5) Have you ever been convicted of any felony, or have you ever been indicted for any felony? Even if acquitted, please explain:



6) By checking the checkbox next to the text "I AGREE" and typing your full name in the text field below ("electronic signing") you hereby authorize RMCAT to request any records of criminal history you may have, including N.C.I.C. reporting. 

I AGREE to allow my criminal records, if any exist, to be examined by RMCAT, and will type my full name in the box below ("electronic sign") to confirm this permission.

 

7) Do you intend to bring your own firearm (pistol or revolver only) to the course?

(Check box if Yes.)

(If 'yes" then please email quinnp1@aol.com for instructions!)

 

8) Do you have any special dietary needs or allergies we should know about? We can acomadate a celiac diet (no wheat). Type them in the field below:

 

9) How did you hear about our course?


Check any that apply:

I received an email notice
Surfing the Web
I am taking the course for the second (or more) time
I read Peyton's books.
I saw a magazine article about RMCAT.
I saw an advertisement with the RMCAT.COM address and came here.

I heard about RMCAT training somewhere else: (Please specify below.)

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Effects of the Adrenal Rush  ,  Peyton's "Reality Check" monthly column  , MAGAZINE ARTICLES from Black Belt Magazine and other international publications about RMCAT's unique training

Rocky Mountain Combat Applications Training
PO Box 535, Lake George Co 80827

Email: quinnp1@aol.com
Fax: 719-748-8557