Contract Agreement - Clockwork Safety Equipment Training

Contract Form

Please fill out the form below to confirm your session with us.

1. COMPANY INFO

Company Name*

Email (Accounting)*

Your Full Name*

Phone*

Company Address*

Street Address City Province Postal Code

2 - Different Training Session Address*

Yes
No

Note: The session will require a room freed up away from noise and distraction. Preferably somewhere warm with chairs and tables.

Training Session Address*

Street Address City Province Postal Code

Site Contact Name*

Site Contact Phone Number*

3 - Course / Service Being Conducted*

IMPORTANT NOTICE: Everyone being fit tested MUST be clean shaven day of. We are NOT a reseller so we do not sell masks.

4 - Number of Participants*

5 - Date of Session*

6 - Preferred Start Time

:

7 - Will any of the trainees require an interpreter / translation?*

Yes
No

Note: There is an additional fee associated with course translation. Please note we do NOT provide the translator, if required, your company is expected to have someone present capable of properly relaying the information.

8 - There is a meeting / lunch room on location to conduct the theory portion, away from noise & distractions?*

Yes
No

9 - The machine is on site filled / charged and ready to use?*

Yes
N/A

10 - By checking this box you're confirming that a $300 partial payment will be sent by e-transfer, cash or cheque on the day of service. The remainder of payment will be invoiced and can be paid thereafter.

10 - By checking this box you are confirming that a $300 partial payment will be sent by e-transfer, cash or cheque on the day of service. Remainder of payment will be invoiced and can be paid thereafter.*

Agree

11 - By checking this box you're confirming the above information to be true and correct and that you’ve read and understood all CS&ET’s policies, terms and conditions.*
TERMS AND CONDITIONS

9 - By checking this box you're confirming the above information to be true and and correct and that you’ve read and understood all CS&ET’s policies, terms and conditions.

Agree

12 - By checking this box you're confirming that you have read and understand the liability waiver.*
LIABILITY WAIVER

12 - By checking this box you are confirming that you have read and understand the liability waiver.*

Agree

13 - By checking this box you're agreeing to a $300 fee upon cancelation within 48 hours of the confirmed session date. An excessive decrease in trainee turn out will also be subject to additional costs, as per this agreement.

12 - By checking this box you are confirming that you have read and understand the liability waiver.*

Agree

Message / Additional Info

Signature*