Shooting Sports Committee Survey

*First Name

*Last Name

*Address

*City

*State

*Zip

*Phone #

*Email

*Are you a registered Scouter?

YesNo

*District

*Program

*Merit Badge Counselor

YesNo

BSA ID #

*NRA Certification #

Enter "Archery" in this field if you are an archery instructor and do not have an NRA Certification number.

Do you have any of the following certifications?

*Firearms Instructor Certifications

YesNo

*Archery Instructor Certifications

YesNo

Other Shooting Sports Certifications

YesNo