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The training will be conducted on Sept 7, 2019 from 7:30 - 8:30 a.m.; at 9630 Julian Clark Ave., Huntersville, NC 28078 (at the Huntersville Police Department).
Upon completion, officers will remain until all questions are answered.
Please note, due to the nature of this training, each person other than minor children will be required to fill out their own registration form.
Families can submit one form for the entire family.
I understand this is a training course for Citizens Response to an Active Shooting Event. Due to the nature of this event, NO FIREARMS will be allowed on site except those in the possession of Huntersville Police Officers, regardless of your permit to carry status. By clicking agree below, you understand you have been given notice of this restriction.
I understand due to the nature of this training, a criminal background check may be performed. I understand I will not be permitted to attend this training in this particular setting if I have any of the following:
Any weapons charge (regardless of conviction) within the last year.
Any weapons charge with a conviction (to include a reduction in charge) within the last three years.
Any domestic violence charge (regardless of a conviction) within the last year.
Any domestic violence charge with a conviction (to include a reduction in charge) within the last three years.
Any communications of threat, assault or affray charge regardless of conviction within the last three years.
Any disorderly conduct charge regardless of conviction within the last year.
Any felony drug related charge regardless of conviction within the last year.
Any felony drug related charge with a conviction (to include a reduction in charge) within the last three years.
Please list any charges (other than minor traffic offenses) you have received within the last 10 years (regardless of the case outcome), to include any juvenile offenses. If no prior charges apply, indicate so by marking "N/A".
I/We the participants agree to waive for all parties noted above from all claims, demands, actions, or causes of action, against the Town of Huntersville, its officers, agents, or employees, as well as Novant Health and the guest trainers from Novant Health of whatever kind or nature, which may arise in any manner by such reason of injury to person, property or both, while attending CRASE and or Stop the Bleed Training.
To never instigate any suit or action against the Town of Huntersville, its officers, agents, or employees, as well as Novant Health and the guest trainers from Novant Health for damages, loss or injury of any kind for or on account of injury while attending C.R.A.S.E. and or Stop the Bleed Training.
Photographs, films, and recordings are sometimes made of the participants for class pictures, news releases, and other documentary purposes. I/We hereby authorize the use of my/our picture to be used by any radio, television, newspaper, Town of Huntersville, or other officers, agents, and employees for the C.R.A.S.E. and Stop the Bleed programs.
I/We furthermore hereby release, discharge and hold harmless the Town of Huntersville, its employees, volunteers, instructors, and contractors, as well as Novant Health and the guest trainers from Novant Health, from all actions, claims, demands, and costs for any injury or illness as it relates to my/our participation in the C.R.A.S.E. and or Stop the Bleed Training.
I/We have read the foregoing waiver and covenant and understand it constitutes a formal legal document.
By my/our electronic signature(s), and checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
If you have any questions, please contact Sgt Brad Habenicht firstname.lastname@example.org
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