Emergency Ropes & Knots

Full Name *

First

Last

Phone Number *

Email Address *

Email

Confirm Email

Date of Birth *

Emergency Contact *

First

Last

Emergency Contact Phone Number *

In case of an emergency: *

I give full consent to those qualified at National First Responder Training Complex to perform immediate medical attention.

In case of an injury: *

I hereby release National First Responder Training Complex, and all their employees from any injury that I may endure on their site through the duration of their camp. I agree to not pursue any legal action against National First Responder Training Complex.

Signature *

Emergency Ropes & Knots - Single Student *

Total Amount Due *

$ 0.00