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Enrollment Form

This Enrollment Form confirms the attendance for each participant in the course. Each participant must complete this form and agree to the terms of service before the course begins.

Course Information

Project Number

(Skip if it is not available)

Course Date

Course Start Time

Participant Information

First Name

Last Name

Email

Phone Number

Street Address

City

State

Zip Code

Policy Acknowledgement

Please review the following policies:
Terms and Conditions
Privacy Policy
Release of Liability
Cancellation, Reschedule and Refund Policy
Accessibility Statement

I agree to Ready Rescuer's Terms & Conditions.

I agree to Ready Rescuer's Terms & Conditions.

I acknowledge Ready Rescuer's Privacy Policy and Consent to communications related to this class.

I acknowledge Ready Rescuer's Privacy Policy and Consent to communications related to this class.

I agree to Ready Rescuer's Release of Liability.

I agree to Ready Rescuer's Release of Liability.

I agree to Ready Rescuer's Cancellation, Reschedule, and Refund Policy.

I agree to Ready Rescuer's Cancellation, Reschedule, and Refund Policy.

I confirm that I am physically able to participate in training activities, or I will notify Ready Rescuer of any limitations or request accommodations before class begins according to Ready Rescuer's Accessibility Statement.

I confirm that I am physically able to participate in training activities, or I will notify Ready Rescuer of any limitations or request accommodations before class begins according to Ready Rescuer's Accessibility Statement.

Print Full Name

Today's Date

Participant Signature

Signature

As of today, I am 18 years old or older.

As of today, I am 18 years old or older.

Birthday