Practical Training Consent Form

Participant Information

Full Name *

Date of Birth *

Contact Number *

Email Address *

Select Course *

Course Date *

Address *

Postal Code *

Purpose of This Consent

Harley Training Centre provides Basic Life Support (BLS) and related training that includes practical, hands-on participation such as:

Performing chest compressions on manikins.
Practicing rescue breathing (optional/simulated).
Using training Automated External Defibrillators (AEDs).
Participating in emergency response role-play scenarios.
This form is designed to confirm your understanding of and voluntary agreement to take part in these activities.

Acknowledgements

By signing this form, I confirm the following:

Voluntary Participation: *I understand that participation in all practical components of this training is voluntary. I may opt out of any activity if I feel physically or emotionally uncomfortable.

Physical Health Declaration: *I confirm that I am in good health and physically able to participate in the training activities. I have informed the instructor of any relevant medical conditions, injuries, or physical limitations that may affect my participation.

Assumption of Risk: *I understand that training activities involve physical exertion and simulated emergency scenarios. I accept full responsibility for my participation and acknowledge that, while the risk is low, minor injury or discomfort may occur.

Covid-19 and Infection Risk: *I acknowledge that while infection control protocols are in place, close contact during training may carry a residual risk of exposure to infectious agents.

Instructor Responsibility: *I understand that Harley Training Centre and its instructors are trained to provide safe instruction and will support me during all practical activities.

Media ConsentI give permission for photographs/videos taken during training to be used for training or promotional purposes.I do not give permission for my image to be used.

Consent Declaration *I have read and understood the above information. I agree to participate in the practical elements of the course delivered by Harley Training Centre. I acknowledge that I can withdraw from participation at any time and that my health, safety, and comfort are my own responsibility throughout the training session.

Participant Signature

Date