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Release of liabilty .

I hereby acknowledge the following:

1. My participation, and my child's participation, with all training and educational programs provided by Safe Way Out (henceforth, SWO) is voluntary.

2. I understand there is a risk of injury, bodily harm, and/or emotional stress with participating in all activities provided by SWO.

3. I understand the security tips and self-protection training provided by SWO is designed to protect myself and my family from harm. However, I understand that SWO cannot guarantee my safety through the use, or misuse, of the information taught.

4. I understand that SWO will not be held financially or legally liable for any injuries that may occur while participating in the program.

5. I understand the information provided by SWO is designed to keep me safe but does not guarantee my safety.

6. I understand SWO is not liable for the reliability of any security or self-protection equipment given or sold to me.

7. I understand I cannot misuse any security or self-protection equipment. I further acknowledge that the items provided are only to be used FOR SELF-DEFENSE ONLY and never for offensive use.

8. I understand that SWO is a 501(c)(3) nonprofit and any money exchanged for goods or services will be used as a donation.

 

I have read and understood this document and agree to all provisions

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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