Please enable JavaScript in your browser to complete this form.Parent/Guardian Full Name *Email Address *Phone Number *Address *Student Full Name *Student Age *Student Date of Birth *Allergies or Medical Conditions * Allergies of Harmless Course Selection *--- Select Choice ---Child and Babysitting Safety Program, HSIFirst Aid/CPR training program, HSIHSI Stop Life-Threatening BleedingBasic Life Support (BLS) ProgramHands on First AidCustom Tutoring ServicesFood Preservation CoursePrivate Survival Skill InstructionBasic First AidBuilding First Aid KitsNatural MedicinesMental Health in SurvivalAccessing Emergency ServicesTelling Time in the WildUsing the Environment for DirectionCompass & Map SkillsSignaling & CommunicationsGMRS Radio BasicsAnimal Identification & TrackingAnimal Attacks & SafetyAnimal TrapsAnimal HusbandryPlant EdibilityFire LightingSolar Stills & Wilderness CookingFinding, Purifying & Storing WaterBuilding & Finding ShelterClothing as ProtectionKnife Skills (Hatchet)Knot Tying & Rope SkillsRepurposing ResourcesPacking your RucksackEDC (Everyday Carry)Bug Out BagsRafts & Float AidsPreparing for AdventuresPrivate Survival Skills Instruction (1-on-1)Date of classPhoto ReleaseI give permission for Paratus Bellator Group, LLC to use photos/videos of my child for educational and promotional purposes.I ask Paratus Bellator Group, LLC not to use photos/videos of my child.Assumption of Risk & Hold Harmless Agreement *I have read, understand, and agree to the Hold Harmless Agreement and Assumption of Risk.I, the undersigned parent or legal guardian of the above-named student, understand that participation in the Essentials of Wilderness Survival Series involves outdoor activities that may include, but are not limited to: • Fire building • Use of edged tools • Shelter construction • Land navigation • Primitive skills • Outdoor movement over uneven terrain • Exposure to natural environmental conditions I acknowledge that these activities carry inherent risks including injury, illness, property damage, or other unforeseen events. I voluntarily assume all risks associated with my child’s participation. I agree to release, indemnify, and hold harmless Paratus Bellator Group, LLC, its owners, instructors, volunteers, agents, and affiliates from any and all claims, liabilities, damages, or expenses arising out of or related to participation in this course. I certify that my child is physically able to participate and that I have disclosed any relevant medical conditions. I understand that Paratus Bellator Group maintains safety standards and instruction protocols; however, accidents may still occur. By accepting this agreement, I acknowledge that I have read and fully understand this waiver and voluntarily agree to its terms.PAYMENT SECTIONI am using Step Up for Students scholarship funding.Invoice meSubmit