Class Application

Class Date *

Classes are Every 2nd and 4th Sat and Sun of Each Month

First Name and Middle Initial *

Last Name *

Badge Name If Different Than Above

This is the name you want on your badge for the class

Include in the Class Roster? *

Previous Pathway Evolutions Graduate? *

Email *

All communications for this class will be sent here and is kept confidential

Mailing Address P.O. Box or Street/Cnty. Rd. *

Physical address if different from mail address

City *

Zip Code *

Only US Citizens are accepted to participate in Pathway Evolutions' courses

State

Country *

Phone Number *

Alternate Phone Number

How did you hear about Pathway Evolutions LLC?

Occupation *

Employer

Date of Birth *

Dominant Hand *

Gender *

Primary Firearm for Class (required)

Make *

Caliber *

Payment Terms:

A deposit of 50% is due upon applying. If you need to split the payment for the two-day class, the balance remaining will be due within 30 days of the assigned class and automatically deducted as per your credit or debit card.

Cancelation Policy:

Classes canceled within 10 days are fully refundable/transferable. if canceled less than 10 days (1-9) prior to class, 1/3 of your tuition is non-refundable/non-transferable.

Credential Policy:

Pathway Evolutions LLC requires applicats to supply certain documentation prior to participation in training. Acceptance of credential documents is at the sole discretion of Pathway Evolutions LLC. Applicant verifies that all credential documentation is true and correct.
Pathway Evolutions LLC reserves the right to deny training to anyone for any reason. If an application is not accepted, all deposits will be promptly refunded in full.

By submitting this application, I understand and agree:

That the credentials enclosed meet the requirements as outlined by Pathway Evolutions LLC, and that I must positively identify myself as the same person certified in the credentials for enrollment.
That Pathway Evolutions LLC operation depends upon the careful control of deadly weapons by each participant: therefore I understand that my instruction may be terminated at any time during the course if my conduct is not deemed satisfactory at the discretion of the staff.
That I will abide meticulously by any and all safety procedures required at the range, and that I agree to sign a statement releasing Pathway Evolutions from any injury I may sustain during the training program.
I will be at least 18 years of age at the time of class OR will be accompanied by my parent or guardian.

I Understand and Agree: *

Phone