Student Registration Form – Paratus Bellator Group, LLC

Parent/Guardian Full Name *

Name Conduct Address

Email Address *

Phone Number *

Address *

Student Full Name *

Student Age *

Student Date of Birth *

Allergies or Medical Conditions *

Course Selection *

Photo Release *

I 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.

Student Conduct Agreement *

I agree to the Student Conduct Agreement

By registering for a Paratus Bellator Group course, the parent/guardian and student acknowledge and agree to the following:

Students are expected to behave respectfully toward instructors, staff, and fellow students at all times. Disruptive behavior, bullying, or disrespect toward others will not be tolerated.

Students must use appropriate language during all classes and activities. Profanity, offensive language, or inappropriate remarks are not permitted.

Students are required to follow all instructor directions and safety guidelines during the course.

Paratus Bellator Group reserves the right to dismiss any student from a class for disruptive behavior, unsafe conduct, or failure to follow these rules.

If a student is dismissed from a class for violating these rules, the student will not be permitted to continue and all course fees will be forfeited. No refunds will be issued.

By checking this box, I confirm that I have read and agree to the Student Conduct Agreement and understand that failure to follow these rules may result in dismissal from the course without refund.

Assumption of Risk & Hold Harmless Agreement (copy) *

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 SECTION *

I am using Step Up for Students scholarship funding.
Invoice me

Dear Parents, Thank you for registering with Paratus Bellator Group. To ensure your child is fully registered and placed on the class roster, please carefully complete the steps below: IMPORTANT: Registration is NOT complete until funds are reserved. Submitting the registration form does NOT secure a seat. Your child is only officially registered after Step Up for Students (EMA) funds are reserved or your invoice is paid. STEP 1: Log into EMA (Step Up for Students) Log into your EMA account search for “PB Group” under providers. STEP 2: Select the correct course, scroll to find: Essentials of Wilderness Survival ($100 listing). Select the course that matches your registration. If your class is advertised at a lower price, only that amount will be used and the remaining funds will be returned. STEP 3: Reserve Funds (REQUIRED) You MUST reserve funds for each child registered. This step secures your child’s seat. STEP 4: Watch for your invoice email. After funds are reserved, you will receive an invoice via email. Payment method will be gift card only (this is how EMA funds are processed in our POS). STEP 5: Confirmation & class details. Once funds are secured, you will: Receive a receipt, receive all class details and instructions via email. If funds are NOT reserved: Your child will NOT be placed on the roster. You will NOT receive class details or follow-up communication. Your seat is NOT guaranteed. Need Help? If you have any questions or need assistance, please reach out—we are happy to help walk you through the process. Respectfully, Paratus Bellator Group