Student Training Attendance Record (STAR)

Name *

First

Last

Date of Birth

Name of Course / Event - Select course from drop down. Incorrect course selection will require form to be re-submitted with correct course name. *

Date of Course

Address *

Email *

Phone *

Occupation/Employer/Position *

Name of Emergency Contact and Phone Number *

How did you hear about PFC? *

May we use photos of you taken during PFC Training in future promotional efforts? *

Yes
No

May we use written comments you provide by way of course critiques or email in future promotional efforts? *

Yes
No

I registered for this training by:

My method of payment for this training is/was:

My payment for this training is:

You can provide one or more of the following on first day of class, if required: Picture ID / CCW / Background Check Documentation / Other Training Qualification Identification

Yes
No

Signature

Clear Signature

On PC/Mac hold mouse over box until crosshair appears, click-hold down, write name. On mobile device use finger to write name.

Date *

GDPR Agreement *

I consent to having this website collect and store my submitted information.