• BASIC Training Release Forms

  • Format: (000) 000-0000.
  • Which location will you attend?*
  • Format: (000) 000-0000.
  • Are you 18 or older?*
  • Format: (000) 000-0000.
  • Image Release Form

  • I hereby grant IDCTE and its representatives and assigns the irrevocable and unrestricted right to use and publish my image and video captured of me in its promotional materials and publicity efforts.

    I understand that the photographs and video may be used in publications, print ads, direct-mail pieces, electronic media (e.g., videos, social media or websites) or other promotion forms.)

    I hereby release and discharge IDCTE, its offices, employees, agents and designees, and the photographer/videographer from liability for any violation of any personal or proprietary right I may have in connection with such use.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Emergency Health Information

  • Birthday*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Do you have any health concerns?*
  • Are you taking any medications?*
  • Do you have any chronic health problems?*
  • Do you have any physical limitations?*
  • Do you have any medically documented allergies?*
  • Do you have any other health concerns we should be aware of?*
  • Should be Empty: