CNA Student Application

Release of Liability and Assumption of Risk

I am enrolled as a student in course(s) offered by Legacy CNA Training, LLC. I understand that my training involves physical activities which have a risk of physical harm to me.

In consideration of the education and training which I am receiving and will receive in the future from Legacy CNA Training, LLC, the receipt of sufficiency of which is hereby acknowledged, I hereby release and forever discharge Legacy CNA Training, LLC, their employees, officers, directors, agents, and assigns, from any and all claims, demands, actions, causes of action, injuries or suits of any kind or nature whatsoever resulting from my participation in the course of study provided by Legacy CNA Training, LLC. I assume all risk of injury to myself while participating in this course of study.

I declare that I am aware of the physical demand of the course of study. I represent that I have no physical limitations that would render me unable to perform the physical activities of the course of study.

I declare that I am not an employee of Legacy CNA Training, LLC, but rather receive educational and training services from Legacy CNA Training, LLC, in order to prepare me for employment by other parties.

I declare that the terms of this instrument have been completely read, fully understood, and voluntarily accepted.

IN WITNESS WHEREOF, I have hereunder set my hand this 30th day of January, 2023.

By entering your initials, you confirm that you have read and agree to the terms above.