Please fill out the following form so your course instructors can ensure any accommodations to the course can be made on your behalf. In addition this form is used with your emergency contact form incase of emergency and will be passed on to Emergency Medical Services in case of an emergency.
**NOTE: No answer on this declaration will necessarily on its own preclude an individual from participating in the course up to their ability. Said information is collected for the primary purpose's of Accommodation & Emergency Response purposes only.
