Last Name:
Middle Initial:
First Name:
Date of Birth:
Social Security Number:
-
-
DCJS # 99-:
Physical Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
E-mail address:
Course of Instruction
01I, UnArmed Security Officer In-Service ($50)
01E, UnArmed Security Officer ($75)
02E, Private Investigator ($450)
02I, Private Investigator In-Service ($75)
05E, Arrest Authority ($75)
06I, S.C.O.P. In-Service ($75)
06E, S.C.O.P. ($225)
07R, Handgun Requalification  ($50)
07E, Handgun Training ($150)
08R, Shotgun Requalification ($25)
08E, Shotgun Training ($50)
09R, Advanced Handgun Requalification ($75)
09E, Advanced Handgun Training ($225)
14I, Firearms Instructor In-Service ($75)
14E, Firearms Instructor ($300)
32I, Personal Protection Speacilist In-Service ($75)
32E, Personal Protection Specialist ($450)
40I, Bail Bondsman In-Service ($75)
40E, Bail Bondsman ($450)
44I, Bail Enforcement Agent In-Service ($75)
44E, Bail Enforcement Agent ($450)
First-Aid, CPR, AED ($50) Each
Additional Weapon ($25)
HR-218 ($50)
Monadock Expandable Baton-MEB ($50)
VA Concealed Carry Permit ($50)
Oleoresin Capsicum Aerosol-OCAT ($50)
FL Concealed Carry Permit ($50)
Payment Information
Payment Type:
Card Number:
Expiration Date:
Name on Card:
Class Dates:
On-Line Registration