Register – STRIKE Training Systems

First Name

Last Name

Date of Birth

Phone

Address

Emergency Contact

Coruse

Current Role

Employer / Organization

Previous Training

Certifications

Yes No

List Certifications

What do you hope to gain?

What skills do you want to improve?

Any medical conditions or injuries?

Yes No

If yes, describe

Medications

Yes No

If yes, list

Acknowledgments

I understand that training involves physical activity and scenario-based exercises that carry inherent risk, and I agree to follow all safety instructions and use required protective equipment at all times, I consent to photos and videos being captured during training sessions and used for training, marketing, or promotional purposes, I understand that full payment is required to secure and confirm my training seat, I confirm that all information provided in this registration is accurate and complete, and I acknowledge that a full liability waiver will be presented, reviewed, and signed prior to participation in the first session.