GLOCK, U.S.A. Professional, Inc.

1 GLOCK professional , INC. Training Course Host Request Form Erin ramsdell Phone: 770-432-1202 Training Division Email: Box 1254 Smyrna, GA 30081 Request Date.

2 _____ Department Name: Address: City: State: Zip Code: Contact Name: Phone: Cell: Email: Potential Dates: Armorer Course Operator Course Low Profile Course Instructor Workshop MOS Operator Course MOS Instructor Workshop Transition Course Classroom Items: PowerPoint Projector Screen Adequate Lighting Level Work Tables Climate Controlled Seating for 30 + students LOCAL HOTELS: Name: _____ Name: _____ Name: _____ Phone: _____ Phone: _____ Phone: _____ RANGE DETAILS.

3 Indoor Outdoor Classroom Paper Target Stands Minimum of 6 Shooting Positions Paper Targets (20 per Student) Safe Impact Berm Range Misc. Equipment: (Staples, Clamps, Tape, Paint, etc.) Maximum Shooting Distance: _____ ** RANGE MUST SUITABLE FOR MILITARY / LE STYLE TRAINING WHICH INCLUDES DRAWING FIREARMS AND MOVEMENT DRILLS. Caterer for Armorer Class: Name: _____ Phone: _____ **Lunch for the Armorer Course is set up by the host, paid by GLOCK.

4 Comp Slots: Armorer Course maximum of 2, if minimum requirements are met. 1 slot maximum for shooting courses, if minimums requirements are met. NOTE: If you choose to make your classes LE / Military only, you must have the minimum students required registered 6 weeks prior to the class date. If you do not have this requirement by this time, your class will be opened to all categories. Send this form to