Student Information - Rigging International Group

There are 4 Forms Total. You will be redirected to the next after each submission.

You can also use these links to access forms:
1. Student Information
2. Waiver of Liability
3. Statement of Medical Condition
4. Non-Disclosure Agreement

1 of 4: Student Information Form

Before your start . . .

- All fields are required. Place N/A in IRATA or SPRAT fields if not applicable.

- 2 File Attachments: Have your Logbook and Current Photo ready to attach at the end of this form.

Your Course Starting Date (i.e. 00/00/0000)

Your Name

Date of Birth

T-Shirt Size

Current IRATA Level (Type N/A if not applicable)

Current IRATA Number (Type N/A if not applicable)

Current IRATA Expiry Date (Type N/A if not applicable)

Current SPRAT Level (Type N/A if not applicable)

Current SPRAT Number(Type N/A if not applicable)

Current SPRAT Expiry Date (Type N/A if not applicable)

Logbook Serial #

Total Logged hours

Logged at current level

Lost Log Book?*
YesNo
*Technicians must have their logbooks present for training and assessment. Lost logbooks need to be replaced in advance of the course date. See IRATA TACS 4.13 for more clarification.

Desired IRATA Level

Desired SPRAT Level

Mailing Address:

Street

City

State

Zip Code

Phone

Allow SMS? Can we text you at this number?
YesNo

Your Email (required)

Emergency Contact Name

Emergency Contact Phone

Employer

Employer Phone

Trade Qualifications

Work at Height or Recreational Experience

Please attach your Logbook file.

Please attach your current photo.