Client Application Your safety interest and goals Personal Safety Interest and Goals: Prior Training Experience: List any training experience you may have, include time trained? Check All Programs You Are Interested In: Seminars (Business, Organizations, Etc) Private Training (Individuals & Small Groups) Home Evaluation: Safety Walk-Through Check All Services You Are Interested In: Seminar: Letcure Only Seminar: Letcure + Training PT: Empty-Hand Training PT: Empty-Hand + Knife Training PT: Empty-Hand + Firearm Training PT: Empty-Hand + Knife + Firearm Training PT: Knife Training Only PT: Firearm Training Only Home Evaluation: Safety Walk-Through Name: Email Address: Phone Number: Preferred Contact Method: Email or Phone? If Phone, what days and time are best to reach you? (Example: Mon-Wed between 1pm-7pm) Your Availability? List days and times you are availableee to train. Submit