Registration Form Name *
First Last Company/Employer * Job Title * Years of Experience * Address * Business Phone # * Cell Phone # Fax # Email *
Second email to be CC'd
How did you hear about this course? * Participants Info
If registering more than 10 people, please contact us at firstname.lastname@example.org.
Participants * Participant Registration, Release, Waiver
In consideration of mutual covenants expressed herein, North American Training Solutions ("Company"), and Participant ("Participant"), agree in exchange for the fee paid by Participant/Employer/Other, Company will provide certain Training as described below and incorporated in this Participant Registration, Release, Waiver and Hold Harmless Agreement ("Agreement"). Participant represents they have reached the age of majority in the state/province where Training shall occur and is participating upon their free will. Participant also understands attending Training does not qualify them to instruct others, to hold themself out as an expert in the Training topic or represent they are qualified to conduct Training or provide any expertise in the topic.
All materials distributed by Company are protected under United States Copyright Laws. Any duplication, modification, or distribution of same is strictly prohibited. This Agreement shall be binding on Participant, their heirs, next of kin, executors, administrators & personal representatives. This paragraph shall survive the termination of Agreement and Participant instructs their spouse, children, heirs and estate to honor this paragraph. BY CHECKING THE BOX BELOW, YOU ACKNOWLEDGE YOU HAVE READ AND AGREE TO THE TERMS OF THE PARTICIPANT REGISTRATION, RELEASE, WAIVER & HOLD HARMLESS AGREEMENT * Photograph & Video Consent, Waiver & Release Form
I hereby grant full and knowing consent to North American Training Solutions (“Company”) the rights and privilege under federal and state(s) laws to use my image, likeness, and sound of my voice as recorded on audio, video or any other reproduction method without payment or any other consideration or compensation. I understand that my image may be edited, copied, exhibited, published or distributed for multiple purposes including but not limited to advertising, marketing, sales and training purposes, and may be used in diverse educational settings within an unrestricted geographic area, may be used on the world wide web (Internet), and in both public and private settings, in for-profit and not-for-profit companies and government settings, from the date entered below until either the end of time or until I submit in writing a written revocation of this consent.
I also waive the right to inspect or approve the released image of my likeness or voice recording prior to its use or notice of its use. Additionally, I waive any right to royalties or other compensation, if any, arising or related to the use of my image or voice recording.
I understand this consent, waiver and release form will continue in effect until it is revoked in writing and mailed to PO Box 184 Douglas, MA 01516. Any use of my image or voice prior to the date the Company receives the revocation, or any images or voice recordings already in use will not be retracted. Revocation will only apply to future use in new venues.
I acknowledge that I have completely read and fully understand the above consent, waiver and release and agree to be bound thereby. I hereby release any and all claims against any person or organization, including but not limited to the Company using my image or voice recording.
The information in this manual and workshop are the ideas and beliefs of the organization and the presenters, and are NOT intended to be and should NOT be mistaken as a substitute for professional, legal or medical advice. This information is provided for educational purposes only.
I have read and understand the course disclaimer. * Terms & Conditions Important notes about your registration: This course is instruction and field demonstration and does not include hands-on learning opportunities. Age of Majority: Each participant must be over the age of majority in the state in which the course is being held Cancellation Policy: 30 or more days in advance: full refund; 29-14 days in advance: 50% cancellation penalty; 13-0 days in advance: 100% cancelation penalty; no-shows: no refund.
We ask each registrant to provide either an e-mail address or a fax number, as you will receive your confirmation letter and supporting information by one of these two ways. If an administrator in your office is submitting a registration, please ensure to pass along the confirmation package to the staff member who will be attending the training.
NO CONFIRMATION PACKAGES WILL BE SENT VIA REGULAR MAIL, UNLESS SPECIFICALLY ARRANGED WITH OUR OFFICE.
You may register with a check or through our online payment system (check made out to North American Training Solutions).
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