Radiant Cincy Teeth Whitening Training Student Agreement, Liability Waiver & Terms

Radiant Cincy Teeth Whitening Training Student Agreement, Liability Waiver & Terms

Please complete this registration form to acknowledge all training terms, liability waivers, and payment policies. Read each section carefully and confirm your agreement by checking all required boxes and providing your e-signature below.
Student Information

Please provide your contact details.
Student Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Agreements & Acknowledgments

Please read and agree to all statements below to proceed with registration.
Please confirm your agreement to all of the following:*

I agree that I am participating voluntarily and assume all risks associated with hands-on teeth whitening training.I release Radiant Cincy, its owner, instructors, and agents from any liability for injuries, reactions, or damages occurring during or after training.I understand Radiant Cincy is not responsible for my negligence or business practices after training.I understand this training does not create employment, partnership, franchise, or agency relationship.I understand training is educational only and not legal or medical advice. I am responsible for legal compliance in my state.I understand I should obtain my own liability insurance before offering services.I understand there is no guarantee of income or business success.I agree I will not offer teeth whitening services within 10 miles of 4228 Silver Streak Dr, Cincinnati, Ohio 45245 for 24 months after training.I agree I will not train or teach others using Radiant Cincy materials or methods.I agree not to copy, record, photograph, or distribute any training materials.
Approval

Please confirm your understanding of the following
Type a question

I understand that completion of training does not guarantee competency, safety, or policy requirements are not met.I understand Radiant Cincy reserves the right to determine whether I am qualified to provide whitening services using its protocols.I understand Radiant Cincy is not required to sell whitening gels, gingival barrier, or supplies if I am not deemed qualified or if policies are violated.I understand denial of certification or supply access does not entitle me to any refund of training or supply fees.
Supply Purchasing Policy Acknowledgment

Please read and agree to the following supply policy
Type a question

I understand Radiant Cincy training and protocols are based on specific products provided through Radiant Cincy.I agree to purchase whitening pens (gel) and gingival barrier through Radiant Cincy when providing services taught in training.I understand continued certification, mentorship, and support are provided only when Radiant Cincy products are used.I understand Radiant Cincy is not responsible for treatment results or outcomes when non-approved products are used.I understand using non-approved products is prohibited.
Payment Policy Acknowledgment

Please confirm your understanding of the payment policy.
Type a question

I understand my deposit is non-refundable.I understand the remaining balance is due 48 hours before training.I understand Radiant Cincy may choose not to reschedule missed or late appointments.I understand failure to attend training does not entitle me to a refund or credit.I understand all payments are non-refundable.
Photo & Video Release

Please indicate your consent regarding use of photos/videos from training.
I grant Radiant Cincy permission to use photos/videos from training for marketing purposes.*

I grant Radiant Cincy permission to use photos/videos from training for marketing purposes.
Required

Final Acknowledgment
I confirm that I have read, understand, and agree to all terms and policies listed in this agreement.
E-Signature Confirmation

Please type your full legal name and select today's date to confirm your agreement to all terms above.
Full Legal Name (E-Signature)*
Date of Agreement*

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Date
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Radiant Cincy Teeth Whitening Training Student Agreement, Liability Waiver & Terms

Student Information

Agreements & Acknowledgments

Approval

Supply Purchasing Policy Acknowledgment

Payment Policy Acknowledgment

Photo & Video Release

Required

E-Signature Confirmation