Educational Seminar Document

EDUCATIONAL SEMINAR DOCUMENT

Seminar Details

Date:    Start Time:    End Time:

Continuing Education Units (CEUs) / Credits awarded: Yes No    If yes, number of credits:

Participant Information

Date of Birth:    Student ID (if applicable):

Participant is under 18 years of age:

Parent / Guardian Information (If Participant Is a Minor)

Emergency & Medical Information

I authorize staff to provide or secure emergency medical treatment if necessary: Yes    No

Fees, Payment & Cancellation

Payment Method: Check Credit Card Invoice to institution

Cancellation and Refund Policy: Participant acknowledges that cancellations received fewer than 7 calendar days prior to the seminar start date are subject to a 50% fee; cancellations on or after the seminar start date are non-refundable. Participant agrees that the institution's decision on refund eligibility is final and binding.

I acknowledge the refund policy and agree to be responsible for any applicable fees: Yes

Conduct, Attendance & Academic Policies

Participant agrees to attend promptly, participate in required activities, and comply with instructor directions. Excessive absences or failure to meet participation standards may result in denial of credit or certificate. Academic integrity is required; plagiarism or dishonesty may result in removal from the seminar without refund.

I have read and agree to abide by the conduct and attendance policies above: Yes

Intellectual Property and Confidentiality

Seminar materials, presentations, slide decks, and handouts are the intellectual property of the instructor or sponsoring institution and are provided for participant use only. Participant shall not reproduce, distribute, or commercially exploit materials without prior written permission. Confidential or proprietary information disclosed during the seminar must not be shared outside the seminar without express written consent of the disclosing party.

I agree to respect intellectual property and confidentiality obligations as stated: Yes

Media Release

I authorize the recording and use of my image, voice, and statements in photographs, audio, or video captured in connection with the seminar for educational, archival, promotional, and reporting purposes. I understand that such use may be without compensation and waive any right to inspect or approve uses in advance.

Consent to Media Release: Yes    No

Liability Release and Indemnification

To the fullest extent permitted by law, participant releases and holds harmless the sponsoring institution, its trustees, officers, employees, volunteers, and agents from any and all liability, claims, demands, or causes of action for injury, loss, or damage of any kind arising out of participation in the seminar, except to the extent caused by gross negligence or willful misconduct of the institution. Participant agrees to indemnify and defend the institution against third-party claims arising from participant's acts or omissions.

I have read, understand, and accept the liability release and indemnification clause: Yes

Privacy & Records

Participant information provided on this form will be used for seminar administration, attendance records, and issuance of any awarded credit or certificate. The institution will retain records in accordance with its records retention policies. By signing below, participant consents to such use of personal information.

I consent to the collection and use of my personal data as described above: Yes

Acknowledgment and Certification

By signing below, I certify that the information provided on this form is true and complete to the best of my knowledge. I affirm that I meet any prerequisites stated for the seminar. I understand and agree to abide by the policies, waivers, and releases set forth in this document and accept responsibility for the seminar fee as indicated.

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