Course Registration & Waiver or Interest Form
Please use this form to register for courses and submit information or also get on our mailing list and receive occasional updates.
TRAINING RECORD: Liability Release and Medical Declaration Form
This is an activity registration form, training record and waiver.
RESCUEs | EMERGENCIES | DISASTERS | MEDICAL | SAFETY
Please FULLY COMPLETE ALL PARTS complete and sign this form and submit it to the Course Coordinator by the beginning of the first day of class. Please print clearly and ✓ = YES and X = No
LIABILITY RELEASE
I have been advised to bring suitable PPE and realise that it is my responsibility to where it (such as clear eye glasses) etc. I hereby acknowledge that I am fully aware of the risks to which I may be exposed during the Training Course, with potential minor and major accidents that may cause me or other person’s bodily harm and/or illness. I fully understand and accept that Advanced Rescue by DIMERSAR, The Emergency Response Team – Search and Rescue (ERT SAR), as well as connected agencies; the course coordinator, instructors and assistant personnel, have taken every precaution possible to prevent accidents, injuries and illness during the course. I agree to comply strictly with each and every safety standard of the Training Course. I furthermore pledge to ensure my own safety and the safety of all other course participants to the best of my ability. I will not recklessly endanger myself or other participants and in the event of any accident that may cause me bodily injury or illness during or after the Training Course, I hereby release The Police Charter, RED Recon Group of Companies, DIMERSAR, The Emergency Response Team – Search & Rescue as well as course coordinator, instructors, assistant personnel, from all legal liability thereof.
MEDICAL CONDITIONS & DECLARATION
I am fit enough to perform the fitness tests, active tasks pertaining to the expected requirements of the course including the carriage and use of equipment and WILL NOT hold ADVANCED RESCUE by DIMERSAR et al responsible. I am aware this is performed in varied terrain, often in extra heat or cold environments, remote areas and may be very tiring and strenuous. I will not perform solitary tasks that would be better with aid or assistance. I understand and am aware of the Medical issues and agree that it will not be a problem for me to participate in these activities. I will advise if I feel unfit or unwell and not leave without informing a person in authority that I intend to do so. I also acknowledge I have informed the instructor and my employer of any fitness or medical / mobility issues I have and written it on the back of this form. Please X below
MEDIA USE & RELEASE
Also, from time to time, the sessions are filmed, recorded, photographed and I acknowledge and agree to said filming, taping etc. and allow my image / recording to be included freely in websites, documents, manuals, etc.
AGREEMENT TO RECEIVE ELECTRONIC & OTHER COMMUNICATION
From time to time we may send you training and re-certification updates, new information, marketing, sales, notices, product recalls, legal notices, professional standards and other Instructor, Directing Staff or participant / attendee information. We require your agreement to do so as part of your training and certification. (If you decline to eceive this you can do so later as an "Unsubscribe" button but we do emphasize this is necessary in many cases as part of your certification and we do NOT sell your lists on nor abuse this ability.
This is an activity registration form, training record and waiver.
RESCUEs | EMERGENCIES | DISASTERS | MEDICAL | SAFETY
Please FULLY COMPLETE ALL PARTS complete and sign this form and submit it to the Course Coordinator by the beginning of the first day of class. Please print clearly and ✓ = YES and X = No
LIABILITY RELEASE
I have been advised to bring suitable PPE and realise that it is my responsibility to where it (such as clear eye glasses) etc. I hereby acknowledge that I am fully aware of the risks to which I may be exposed during the Training Course, with potential minor and major accidents that may cause me or other person’s bodily harm and/or illness. I fully understand and accept that Advanced Rescue by DIMERSAR, The Emergency Response Team – Search and Rescue (ERT SAR), as well as connected agencies; the course coordinator, instructors and assistant personnel, have taken every precaution possible to prevent accidents, injuries and illness during the course. I agree to comply strictly with each and every safety standard of the Training Course. I furthermore pledge to ensure my own safety and the safety of all other course participants to the best of my ability. I will not recklessly endanger myself or other participants and in the event of any accident that may cause me bodily injury or illness during or after the Training Course, I hereby release The Police Charter, RED Recon Group of Companies, DIMERSAR, The Emergency Response Team – Search & Rescue as well as course coordinator, instructors, assistant personnel, from all legal liability thereof.
MEDICAL CONDITIONS & DECLARATION
I am fit enough to perform the fitness tests, active tasks pertaining to the expected requirements of the course including the carriage and use of equipment and WILL NOT hold ADVANCED RESCUE by DIMERSAR et al responsible. I am aware this is performed in varied terrain, often in extra heat or cold environments, remote areas and may be very tiring and strenuous. I will not perform solitary tasks that would be better with aid or assistance. I understand and am aware of the Medical issues and agree that it will not be a problem for me to participate in these activities. I will advise if I feel unfit or unwell and not leave without informing a person in authority that I intend to do so. I also acknowledge I have informed the instructor and my employer of any fitness or medical / mobility issues I have and written it on the back of this form. Please X below
MEDIA USE & RELEASE
Also, from time to time, the sessions are filmed, recorded, photographed and I acknowledge and agree to said filming, taping etc. and allow my image / recording to be included freely in websites, documents, manuals, etc.
AGREEMENT TO RECEIVE ELECTRONIC & OTHER COMMUNICATION
From time to time we may send you training and re-certification updates, new information, marketing, sales, notices, product recalls, legal notices, professional standards and other Instructor, Directing Staff or participant / attendee information. We require your agreement to do so as part of your training and certification. (If you decline to eceive this you can do so later as an "Unsubscribe" button but we do emphasize this is necessary in many cases as part of your certification and we do NOT sell your lists on nor abuse this ability.