Ethical Hacking Course Enrollment Form

ETHICAL HACKING COURSE ENROLLMENT FORM

Use this form to enroll in the Ethical Hacking course. Completion of this form constitutes a binding request for enrollment subject to the policies and certifications contained herein. Fields marked with an asterisk must be completed accurately. False statements may result in rejection of enrollment or later dismissal.

Student Information

Date of Birth:   Student ID:

Parent / Guardian (If Student Under 18)

Minor Status: I certify the student is under 18 years of age.

Emergency & Medical

Course Selection & Schedule

Course:

Course Level (select one or indicate preferred):
Introductory   Intermediate   Advanced   Bootcamp

Scheduled Start Date:

Tuition & Payment

Payment Plan (select one):
Full payment due prior to start date   Installment plan (provide details below)

First Installment Due:

Eligibility, Background & Conduct

Eligibility (check all that apply):
Meets minimum age requirement for course participation
Has prerequisite knowledge or experience as required by course syllabus
Agree to use skills only for lawful, authorized, and defensive purposes

Background Check Consent: I authorize a background screening where required for practical lab access. I understand certain offenses may preclude participation in live lab exercises.

Policies, Waivers & Acknowledgments

Code of Conduct and Lawful Use: The Registrant agrees to comply with the course Code of Conduct and to refrain from using any knowledge, tools, techniques, or credentials provided by the course to access, disrupt, or damage systems, data, or services without express, legally valid authorization. Unauthorized or malicious activity will result in immediate dismissal and notification to appropriate authorities.

Lab Access and Liability: The Registrant acknowledges that hands-on labs involve simulated attack and defense techniques. All lab activity will be performed on authorized test systems. The Registrant releases and holds harmless the institution and instructors from liability for injuries, losses, or claims arising from permitted participation, except where caused by gross negligence or willful misconduct of the institution.

Intellectual Property and Materials: Course materials, tools, and exams are the intellectual property of the institution. Reproduction or distribution is prohibited except as expressly permitted. Use of materials for commercial purposes without written permission is prohibited.

Attendance, Refund and Termination Policy: Tuition refunds and course withdrawal follow the institution's published policy. The institution reserves the right to terminate enrollment for conduct violations or nonpayment without refund as provided in the policy.

Data Privacy: Personal data provided on this form will be used for enrollment, course administration, safety, and compliance purposes. The Registrant consents to such uses as required to deliver training and comply with legal obligations.

Agreement to Terms:
I acknowledge and accept the Code of Conduct and lawful use requirements.
I acknowledge and accept the Lab Access and Liability terms.
I acknowledge and accept the Intellectual Property terms.
I acknowledge and accept the Attendance, Refund and Termination Policy.

Certification

Certification Statement: By signing below, the Registrant or Parent/Guardian certifies that the information provided in this Enrollment Form is true and complete to the best of their knowledge; that they have read and agree to abide by all course rules, policies, and legal obligations stated above; and that they shall not use course knowledge for unauthorized or illegal activities. The Registrant further acknowledges that misrepresentation or violation of these terms may result in immediate dismissal and forfeiture of fees as set forth in the enrollment policies.

Consent to Terms: I certify and consent as described in the Certification Statement above.

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