Student Information - Rigging International Group

Before your begin . . .

- 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. Insure Your Trip

- It will take about 20 minutes to complete these forms. 🕑

- All fields are required. Please type N/A if any field is not applicable. ☑

- Info & File Attachments: Please review this form before beginning. You'll need your Logbook(s) and Current Photo ready for important info, and to attach at the end of this form. ☑

1 of 4: Student Information Form

Your Course Starting Date

Training Location (Las Vegas, NV or Anchorage, AK)

Your Name

Date of Birth (i.e. Februayr 1, 1990)

T-Shirt Size

Are you currently IRATA certified?
YesNo

Current IRATA Level

Current IRATA Number

Current IRATA Expiry Date

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.

Are you currently SPRAT certified?
YesNo

Current SPRAT Level

Current SPRAT Number

Current SPRAT Expiry Date

Total Logged hours

Logged at current level

Desired IRATA Level

Desired SPRAT Level

Mailing Address:
Street

City

State

Zip Code

Phone

Can we text you at this phone 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.