TACTICAL PROFESSIONALS, LLC
                                                 PRIVATE LAW ENFORCEMENT SERVICES AGENCY
                                                        P.O. Box 78359   Nashville, TN 37207-8359
                                                           Ph. 615-506-5515 Fax 1-877-807-3594  
                                                                   www.tacticalprofessionals.com



Name__________________________________________________________________
     Last                                                       First                                    Middle Initial

Date of Birth______/________/___________
               MM        DD            YR

Address_________________________________________________________________
Street

City________________________State________________________Zip Code_________



Home Phone Number________/ ________/__________


Mobile Phone Number ________/________/___________


Emergency Contact:  Name __________________________________________


Phone Number_______/____________/_____________________


Confidential Statement: All information is held in strict confidence and will only be used for program
purposes, and emergencies. I the undersigned authorize TAC-PRO to use this information to run a criminal
records check in order to verify my eligibility to participate in this program.
I realize that I must also sign a release and waiver before participating in the class.
I understand that before engaging in this course it is my responsibility to inform TACPRO before the start date if I have
any illnesses, injuries, or preexisting conditions that may prevent me from participating. I realize that the training may
be a physically taxing activity and that a physical examination is desirable before engaging in this course.
EXTENSION PRIVILEGE: TAC-PRO will allow any individual that has been signed up in advance that misses a seminar
because of illness, accident or emergencies to attend another seminar at a later date.  



Signature______________________________________________Date______________________


Print Name_______________________________________________________________________



*****************************************************************************************************************************************************


                                                               RELEASE AND WAIVER

IN CONSIDERATION OF PARTICIPATION IN THIS PHYSICAL ACTIVITIES GRANTED ME OR MY CHILD TO
PARTICIPATE IN THE TRAINING OF THIS PROGRAM I THE UNDERSIGNED, WAIVE AND RELEASE ANY AND ALL
RIGHTS THAT I MY HEIRS, EXECUTORS, ADMINISTRATORS OR ASSIGNS MAY HAVE OR CLAIM TO HAVE FOR ANY
CLAIMS, DEMANDS, ACTIONS, JUDGMENTS AND EXECUTIONS AGAINST TACTICAL PROFESSIONALS TRAINING
SERVICES, THE GUTHRIE GROUP, IT’S SUCCESSORS OR ASSIGNS, FOR ALL PERSONAL INJURIES KNOWN, AND
UNKNOWN, AND INJURIES TO PROPERTY, REAL OR PERSONAL CAUSED BY OR ARISING OUT OF THE ABOVE
DESCRIBED SPORTS ACTIVITIES.
IF I OBSERVE ANY UNUSUAL, SIGNIFICANT RULE VIOLATIONS OR HAZARDS DURING MY PRESENCE OR
PARTICIPAT10N. I WILL REMOVE
MYSELF FROM PARTICIPATION AND BRING SUCH TO THE ATTENTION OF THE NEAREST OFFICIAL.
I THE UNDERSIGNED, FULLY UNDERSTAND AND APPRECIATE THAT MYSELF OR MY CHILDS PARTICIPATION IN
THESE PHYSICAL ACTIVITIES CARRIES A RISK TO ME OF SERIOUS INJURY, INCLUDING PERMANENT PARALYSIS
OR DEATH. I VOLUNTARILY AND KNOWINGLY RECOGNIZE, ACCEPT AND ASSUME THIS RISK. I THE
UNDERSIGNED HAVE READ THIS RELEASE/WAIVER AND UNDERSTAND ALL OF IT’S TERMS AND CONDITIONS I
EXECUTE IT VOLUNTARILY AND WITH FULL KNOWLEDGE OF IT'S SIGNIFICANCE.
I UNDERSTAND THAT THIS RELEASE /WAIVER SUPERSEDES ANY RELEASE AND OR WAIVER THAT MAY HAVE
BEEN PREVIOUSLY SIGNED BY ME.
I UNDERSTAND THAT ANY FEES CHARGED FOR MY CHILD"S PARTICIPATION IN THIS PROGRAM ARE NON-
REFUNDABLE.
FEMALE PARTICIPANTS ONLY: I CERTIFY THAT I AM NOT PREGNANT, OR HAVE ANY PAINFUL PELVIC
DISCOMFORT SUCH AS SYMPTOMATIC ENDOMETRIOSIS OR OTHER CAUSES. ABNORMAL VAGINAL BLEEDING
OF UNDETERMINED CAUSES  (ETIOLOGY), RECENT LOSS OF MENSTRUAL PERIOD   (SECONDARY
AMENORHEA), RECENTLY DEVELOPED BREAST MASS, RECENT BREAST DYSFUNCTION PREVIOUSLY NOT
PRESENT OR SURGICAL BREAST IMPLANTS AND HAVE READ ADDENDUM A OF THIS RELEASE/WAIVER
PERTAINING TO MY PRESENT PHYSICAL CONDITION. I FURTHER AGREE I WILL IMMEDIATELY NOTIFY MY
INSTRUCTOR/TRAINER OR CLUB OFFICIAL IF ANY OF THE ABOVE DESCRIBED CONDITIONS SHOULD DEVELOPE.
PLEASE READ THE RELEASE/WAIVER CAREFULLY AND SIGN AGREEMENT ONLY WHEN COMPLETELY
UNDERSTOOD

SIGNED_______________________________ PRINT NAME___________________________DATE________



              ************(IF PARTICIPANT IS UNDER 18 PARENT OR GUARDIAN MUST SIGN)*************

PRINT NAME: ___________________________SIGNATURE___________________________DATE_______



PLEASE CHECK ONE:  __________MOTHER    __________FATHER    __________LEGAL GUARDIAN