{"id":6946,"date":"2019-07-25T18:53:12","date_gmt":"2019-07-26T01:53:12","guid":{"rendered":"https:\/\/pelicorp.com\/pfctrainingdev.com\/?page_id=6946"},"modified":"2019-07-25T18:53:12","modified_gmt":"2019-07-26T01:53:12","slug":"release-of-liability-and-assumption-of-the-risk","status":"publish","type":"page","link":"https:\/\/pelicorp.com\/pfctrainingdev.com\/release-of-liability-and-assumption-of-the-risk\/","title":{"rendered":"Release Of Liability And Assumption Of The Risk"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-6937\"><form id=\"wpforms-form-6937\" class=\"wpforms-validate wpforms-form\" data-formid=\"6937\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/pfctrainingdev.com\/wp-json\/wp\/v2\/pages\/6946\" data-token=\"eab5b0cb3a9ce3101b1e026722888ef0\" data-token-time=\"1776761124\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-6937-field_5-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"5\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-6937-field_5\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][5][first]\" required><label for=\"wpforms-6937-field_5\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-6937-field_5-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][5][last]\" required><label for=\"wpforms-6937-field_5-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6937-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_26\">Date of Birth<\/label><input type=\"text\" id=\"wpforms-6937-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" ><\/div><div id=\"wpforms-6937-field_30-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_30\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-6937-field_30\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][30]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-6937-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_32\">Name of Course \/ Event you will be attending <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6937-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" required><\/div><div id=\"wpforms-6937-field_31-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_31\">Date of Course <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-6937-field_31\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][31][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-6937-field_8-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_8\">I understand that I am participating in an organized small arms, concealed carry, close-quarter combat\/physical defense, specialized training and\/or tactical training event or course of instruction (Course), using the training facilities, and\/or participating as a spectator. Participation and\/or observation of such a Course exposes me to potential major and minor injuries including, but not limited to gunshot wounds, blunt force trauma, lacerations, soft tissue injuries, injuries caused by back-splatter from steel targets, broken bones, concussions, etc.  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6937-field_8\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][8]\" required><div class=\"wpforms-field-description\">Initials<\/div><\/div><div id=\"wpforms-6937-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_10\"> I am participating in this Course on my own free will and FULLY UNDERSTAND AND ACCEPT the inherent risks associated with this training I choose to be involved in; and as a result, I, my family and heirs WILL HOLD HARMLESS AND FOREVER RELEASE the training facility, training facility owner, Progressive F.O.R.C.E. Concepts, LLC training organization (the Training Organization), and Training Organization Instructor(s), including but not limited to Stephen J. Krystek, owners, associates, affiliates, immediate family, extended family and heirs from any liability whether intentional or unintentional acts or actions, injuries or death to my person, injuries or death to another person, or damage to property resulting from my participation in training and firing range use. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6937-field_10\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][10]\" required><div class=\"wpforms-field-description\">Initials<\/div><\/div><div id=\"wpforms-6937-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_9\">If I must use a Blackhawk Serpa holster or any holster that utilizes a trigger finger actuated retention mechanism, I do so of my own free will, fully recognizing and accepting the risks and hazards associated with this equipment. Furthermore, I WILL NOT make any legal claims of damage or losses resulting from injuries sustained during this or any other training or special event conducted by Progressive F.O.R.C.E. Concepts, LLC, or initiate any legal action of any kind against Progressive F.O.R.C.E. Concepts, LLC now or in the future. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6937-field_9\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][9]\" required><div class=\"wpforms-field-description\">Initials<\/div><\/div><div id=\"wpforms-6937-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_11\">I understand the local environmental conditions are unforgiving and further, hydration is my responsibility. Breaks to consume water have been provided by the Facility, Training Organization, and\/or Instructors. Furthermore, I, my family and heirs WILL HOLD HARMLESS AND FOREVER RELEASE the training facility, training facility owner, the Training Organization (Progressive F.O.R.C.E. Concepts, LLC), and Training Organization Instructor(s), including but not limited to Stephen J. Krystek, owners, associates, affiliates, immediate family, extended family and heirs from any liability resulting from my future actions as a result of the training obtained during this Course. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6937-field_11\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][11]\" required><div class=\"wpforms-field-description\">Initials<\/div><\/div><div id=\"wpforms-6937-field_12-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_12\">By my signature on this document, I state that I have no criminal history preventing me from possessing a firearm and am not wanted for questioning or arrest by any law enforcement or government agency. I further state that I have no history of mental illness or substance abuse, and that I am not currently under, nor will I be under, the influence of alcohol or other controlled substance while participating in this training or special event. I understand that my training or participation may be terminated at any time during the Course if my actions are not deemed safe or appropriate by the training staff. I agree to follow and abide by ALL safety rules and procedures outlined by the training staff and will immediately report any sustained injuries. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6937-field_12\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][12]\" required><div class=\"wpforms-field-description\">Initials<\/div><\/div><div id=\"wpforms-6937-field_29-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_29\">I have no preexisting medical conditions that prevent me from attending and participating in this training. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6937-field_29\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][29]\" required><div class=\"wpforms-field-description\">Initials<\/div><\/div><div id=\"wpforms-6937-field_27-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_27\">I fully understand this document I have read, agree to abide by all of the above conditions, and understand this document is valid for and applies to the duration of the above entitled training course of instruction or special event from the beginning date to the end date: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6937-field_27\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][27]\" autocomplete=\"off\" inputmode=\"none\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-6937-field_27-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><div class=\"wpforms-field-description\">Signature - On PC\/Mac hold mouse over box until crosshair appears, click-hold down, write name. On mobile device use finger to write name.<\/div><\/div><div id=\"wpforms-6937-field_24-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-6937-field_24\">Date <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-6937-field_24\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][24][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-6937-field_19-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"19\"><label class=\"wpforms-field-label\">GDPR Agreement <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6937-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-6937-field_19_1\" name=\"wpforms[fields][19][]\" value=\"I consent to having this website collect and store my submitted information.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6937-field_19_1\">I consent to having this website collect and store my submitted information.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-6937-field-hp\" class=\"wpforms-field-label\">Phone<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-6937-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"6937\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/pelicorp.com\/pfctrainingdev.com\/wp-json\/wp\/v2\/pages\/6946\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-6937\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><input type=\"hidden\" id=\"ct_checkjs_wpforms_f7e6c85504ce6e82442c770f7c8606f0\" name=\"ct_checkjs_wpforms\" value=\"0\" \/><input \n        id=\"apbct__email_id__wp_wpforms_94173\" \n        class=\"apbct_special_field apbct__email_id__wp_wpforms\"\n        autocomplete=\"off\" \n        name=\"apbct__email_id__wp_wpforms_94173\"  \n        type=\"text\" \n        value=\"\" \n        size=\"30\" \n        maxlength=\"200\" \n    \/><input \n        id=\"apbct_event_id\"\n        class=\"apbct_special_field\"\n        name=\"apbct_event_id\"\n        type=\"hidden\" \n        value=\"94173\" \n            \/><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"_links":{"self":[{"href":"https:\/\/pelicorp.com\/pfctrainingdev.com\/wp-json\/wp\/v2\/pages\/6946"}],"collection":[{"href":"https:\/\/pelicorp.com\/pfctrainingdev.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pelicorp.com\/pfctrainingdev.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pelicorp.com\/pfctrainingdev.com\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/pelicorp.com\/pfctrainingdev.com\/wp-json\/wp\/v2\/comments?post=6946"}],"version-history":[{"count":0,"href":"https:\/\/pelicorp.com\/pfctrainingdev.com\/wp-json\/wp\/v2\/pages\/6946\/revisions"}],"wp:attachment":[{"href":"https:\/\/pelicorp.com\/pfctrainingdev.com\/wp-json\/wp\/v2\/media?parent=6946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}