TACTICAL PROFESSIONALS, LLC
                            PRIVATE LAW ENFORCEMENT SERVICES AGENCY

P.O. Box 78359  Nashville,TN 37207-8359
Phone: 615-506-5515
Fax: 877-807-3594
Email: info@tacticalprofessionals.com
www.tacticalprofessionals.com






Name__________________________________________________________________


Date of Birth_________________________    Age _______________


Address_________________________________________________________________


City________________________State________________________Zip Code_________



Phone Number________-________-__________

Email Address ________________________________________





Emergency Contact :  Name __________________________________________

                            Phone ___________________________________________






Confidential Statement: All information is held in strict confidence and will only be use for program purposes, by
authorization of participant, and for emergencies only.
All participants of this seminar must sign a release and waiver before the beginning of the class.
Before engaging in this course it is the responsibility of the participant to inform the company or TACPRO before the
start date if they have any illnesses or injuries, or preexisting conditions that may prevent them from participating. All
participants should realize that the training may be physically taxing activity and that a physical examination is desirable
before engaging in this course.
EXTENSION PRIVILEGE: TACPRO 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.  

                                                                 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
PARTICIPATI0N. 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 CHILD'S 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


                                                                 REGISTRATION FORM-06