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Voice Script:

We train individuals to survive deadly force encounters, such as carjackings, home invasions, muggings, attacks with sticks, knives, and guns. Anything that deals with a reality based scenario is our primary focus.

Because of how effective the training is, we are extremely selective with who we allow to train at our facility. What we need to do is set up a one on one personal interview. This allows us to get to know one another and make sure it’s a good fit for the both of us. I want to make sure I’m not making better bank robbers or better rapists. I’m sure this makes sense to you?

Appt. Date:
Appt. Time:
Taken By:
First Name:
Last Name:
Email Address:
Phone:
 

I have two available openings, a Tuesday or Wednesday, which works best for you?
Afternoon or evening, which works best for you?
Spell your first name: and last name for me.
What’s a good phone number to reach you at, just in case we need to cancel or reschedule with you?
What’s your email address? I’ll send you a conformation email of this date.

Do you know how to get to the facility?
What part of town will you be coming from?
Take I-40 West to I-25 South. Take the Central Martin Luther King exit. When you get to Central take a right down to Broadway. When you get to Broadway, take a left. Head South down Broadway, past Lead and Coal. Look for a big tan and orange stucco building on the right hand side of the road. It’s got tactical SWAT Team guys painted all around it. You can’t miss it!
The entrance and parking are on the South side of the building. I look forward to seeing you at (ex:) Tuesday at 3:30.

 

New Student Profile

First Name:
Last Name:
Sex:
Occupation:
Employer:
Phone:
eMail:
Address:
State:
Zip: Comments:
Marital Status:
Spouse Occupation:
Employer:
Shock Spots:
Genie Wish 1: Make Feel:
Genie Wish 2: Word to Rule:
Genie Wish 3:  

Time: Referred By:
Date: Experience:
Taken By: If so, What Style?
Lessons For: Inquiry:

 

Interview/Challenge

First Name: Student References
Reference Name:
Reference Contact Number:
Relationship:
   
Reference Name:
Reference Contact Number:
Relationship:
   
Reference Name:
Reference Contact Number:
Relationship:
   
Last Name:
Height/Weight W:
Challenge Date:
# of Jumping Jacks
# Push Ups
# of Crunches  
   
Attitude:  
Tenacity  
   
 
 
 
 

New Student Background Check

First Name:  
Last Name:
Sex:
Occupation:
Employer:
Phone:
eMail:
Address:  
State:  
Zip:  
Marital Status:
Spouse Occupation:
Employer:  


Reviewed by: Date: Pass
Add File:   Reason for Fail:

Shockwave Training Agreement

First Name:
Start Date: End Date:
Program Type:    
Pmt Option: Flex Option:
    Registration Fee:
Financing Amt: Organization Fee:
Finance Int. Rate Monthly Fee:
Mo. Financed    
       
NM Tax: 1st Pmt: Due:
Total Amount: Recurring pmt Date: each month
       
   

Payment Information    
Bank Name: Routing #:
Account # Account Type:
       
Card Type: Card Number:
Exp. Date: CID#:  
     
Last Name:
Sex:
Occupation:
Employer:
Phone:
eMail:
Address:
State:
Zip:
Marital Status:
Spouse Occupation:
Employer:

Emergency Contact Information

Student Name:  
Student Last Name:
Medications:
Known Conditions:
Allergies:
   
Emergency Contact:
First Name:
Last Name:
Phone:  
Cell Phone:  
   
Address:
City:
State:
Zip Code:  

Student Referrals

Student Name: Bruce  
Student Last Name:
   

Reference Name:
Reference Contact Name:
Relation:
Best Time to Call:  
   
Reference Name:
Reference Contact Name:
Relation:
Best Time to Call:  
   
Reference Name:
Reference Contact Name:
Relation:
Best Time to Call:  
     
 


Meetings/Notes

Student Name: Bruce Program Overview Reviews
Student Last Name: 45 Day Review Given by:
 
180 Day Review Given by:

Meeting Date: Meeting Archives
Meeting Time: January 10, 2012
Taken By: March 15, 2012
    May 5, 2012
Meeting Notes: