Registration Form - 4Eign Security Training School

4eign Security Training School Registration

Fill in the form below to register for your training course.

Username *

User Email *

User Password *

Confirm Password *

First Name *

Last Name *

Phone Number *

County of Residence *

Address *

City, State, Zip *

Date of Birth (MM/DD/YYYY) *

Gender

Emergency Contact First and Last Name *

Emergency Contact Phone Number *

Relationship *

Emergency Contact Email *

Select your training course. *

What is your highest level of education? *

Have you ever been arrested? *

Are you currently facing any criminal charges? *

Have you ever been convicted of a misdemeanor? *

Have you ever been convicted of a felony? *

Please provide details of any criminal convictions.

Military Status (optional)

Disability Disclosure (optional)

Application Consent and Agreement *

I have read and understand the rules, regulations, and policies of 4eign Security Training School. I agree to abide by these rules and policies throughout my enrollment and participation in any courses offered by the school.
I understand that I am applying for enrollment in the security training courses offered by 4eign Security Training School. I agree to actively participate in all required course activities, including classroom instruction, practical exercises, and examinations, as applicable.
I understand and accept that I am responsible for all course tuition fees, state application fees, examination fees, and any other associated costs. I acknowledge that failure to pay these fees may result in the suspension or termination of my enrollment.
I certify that all information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that providing false or misleading information may result in the rejection of my application or the termination of my enrollment.
I understand that participation in security training courses may involve certain risks. I hereby release 4eign Security Training School, its instructors, employees, and agents from any liability for injuries or damages that may occur during my participation, except in cases of gross negligence or intentional misconduct.
I confirm that I have read, understood, and agree to all the terms and conditions outlined in this consent statement.