Course Application

Download Course Application ( please click at left to download the application)

If you have any questions at all please email me at Peytonq1@gmail.com   I will reply promptly!

 1-You can download the Course Application which is in PDF format. Then "Copy & Paste' it to any word processor (like 'MS Word', "WordPad', or 'Notepad') and then use that program to fill in your responses.

YOU CAN ALSO JUST 'CUT & PASTE' THE APPLICATION TEXT WHICH APPEARS AT THE BOTTOM OF THIS PAGE.

 2-Then email the completed application to me at: peytonq1@gmail.com

You can email the application either 'pasted to the body of your email', or as an 'Attachment' to your email.

The application is our only means to select attendants, so please take a little time to respond to the questions with some level of completeness. Your application is absolutely confidential.

I will only share any information you provide with selected members of my staff on ‘need to know basis’. They will only ‘need to know’ if in my judgment it will directly assist them in having you reach your stated goals in taking this special course. 

Please email me any questions you might have as well and I look forward to seeing you here at RMCAT in the beauty of Colorado’s Rocky Mountains. The course may very well be a life changing experience for you and it’s also great deal of fun too (please cut & paste the appication text below to your word processor , fill it out and email it to us, AND THANK YOU FOR YOUR INTEREST IN THIS UNIQUE TRAINING OPPORTUNITY!.  iii IFHAVE TROUBLE DOWNLOADING THGE APPLICATIONI

IF

 

Application to Attend a RMCAT Training

Name (first) __________________________(Last)______ _________________

Height_______ Weight _____Age______ Today’s Date ___________

The date of the RMCAT class I am now applying to: _____________

Your email address: _________________Street Address: _______________________

City __ ____________________ State __________ Zip _____________________

Cell Phone ( this helps with airport pick up)_________________________

NOTE: All your answers are confidential and shared only with members of staff and even

then only on a “need to know basis.” They only “need to know” when in my judgment

(Peyton Quinn) it will allow them to better help you reach a specific goal you mentioned in

this application. Also on the back of this sheet (or anywhere below if this is done real time in

an email) please tell us anything about yourself or experience that you feel might help us to

give you the best experience, training and personal goal centered outcome that we possibly

can.

(1) Please identify and briefly explain your goals in attending this class and why you feel

RMCAT training can allow you to achieve those goals:

(2) Have you ever been attacked, or “mugged” or robed at gunpoint or in any other way? If

yes, briefly describe the event.

(3) Have you had any previous martial arts training? Yes ( ) No ( )

(4) Have you had any previous self-defense training? Yes ( ) No ( )

(5) Have you ever witnessed a real act of violence, in the street, a bar or elsewhere? Yes ( )

No ( ) If yes then please explain the context:

(6) Do you have any felony convictions? If yes, then please explain below. Yes( ) No( )

(7) Are you applying to take the scenario based firearms course (which includes some stick

and knife work) as well which is held Monday and Tuesday after the armored assailant class

ends Sunday: Yes ( ) No ( ) ?

If yes, please explain what experiences you have with firearms and any firearms training you

have had: (i.e Front Site, LFI, etc).

(8) How did you first hear about RMCAT Training: Please check all that apply:

( ) I found you on web search ( ) A friend took the course and highly recommended it ( )

I read about your program in a magazine article. ( ) If you saw us on a TV program please

check which program here ( ) History Channel ( ) The View ( ) Tactical to Practical ( )

Other TV program. ( ) I read Peyton’s book Freedom From Fear ( ) I read Peyton’s

Book : Real Fighting: Adrenal stress Conditioning Through Scenario Based Training

About the release: In sending us this completed application you are agreeing to the terms

of the release below. In this release you give up certain legal rights in order to participate in

the course. A personal word on the course: I can say that we have not had any serious

injury (broken bones, lost tooth, joint injury etc) in this course in well over a two decades. A

slight sprain or even a slight bruise sometimes occurs, but even that is not common really.

RELEASE Of Liability: I realize that self-defense training, and this course in particular,

has some inherent risks of personal injury for me. I accept any and all of these risks in

submitting this application and I release RMCAT and Rancho Grande Ent, LLC and all

other attendants or instructors in this course, including Peyton Quinn, from any and all

liability for any injury, be it physical or psychological, that I might suffer as result of this

course.

Signed _______________________________________DATE____________

We will email you promptly on the status of your application and Thanks for interest

and understanding of RMCAT

 

Peyton Quinn

Director of Instruction