COURSE PARTICIPANT RELEASE, INDEMNITY, & FINANCIAL RESPONSIBILITY AGREEMENT
Please carefully read this Agreement prior to signing.
Signing this agreement is required prior to participating in your Course today.
Advanced Professional Healthcare Education, LLC (APHE)
I understand that participation in one of APHE’s courses or programs in resuscitation, advanced resuscitation, and trauma and medical care (the “activities”) involved inherent risks and dangers, including hazards associated with training in both indoor and outdoor environments that may include heat, cold, or physical exertion (including CPR and airway management) which may be inherently dangerous. I understand that such activities are often physically and emotionally demanding. I further understand that I will be participating in emergency medical training scenarios with other students under circumstances where accidents, mistakes, or other circumstances may result in injury to me. To enable APHE to provide its courses and programs and to allow the Host to support the same and as partial consideration for my participation in such courses and programs:
The Agreement shall be governed by the laws of the State of Wisconsin. By signing this Agreement, I further agree that the State of Wisconsin will be the exclusive jurisdiction in which I may bring any suit related to or arising out of the activities. This Agreement shall be binding on me and on my heirs, successors, assigns, and personal representatives. If any provision herein is invalid or unenforceable, in whole or in part, that shall not affect the validity or enforceability of any other provision.
COVID-19 HEALTH SCREEN
Every Person must complete this Screen PRIOR to entering any APHE Classroom. This Screen will be reviewed by your Instructor prior to entering the classroom. Anyone who does not pass this screen will not be allowed into the classroom. You will be allowed to reschedule for a future class.
One or more “YES” answers requires rescheduling, for the safety of our instructors, team members, and other participants.
Have you newly experienced any of the following symptoms in the past 14 days:
By signing here, I: