Course #: IMPEX-301
Course fee: $1,250.00 (does not include travel and lodging)
Duration: 28 hours (0800 Tuesday to 1200 Friday)
Do you have any physical defects that preclude unrestricted participating in the handling of live explosives?
If "yes," please explain:
Name of person to be contacted in an emergency:
This course is restricted to currently certified bomb technicians, either as defined in section 2.3 of the “National Guidelines for Bomb Technicians” or as an active duty military EOD specialist/technician. Please fill in the appropriate section below by selecting either Civilian or Military below:
Waiver: I am about to take a course of instruction at the Center for Improvised Explosives Research and Training (IMPEX) and am aware that this course will necessitate my personal handling of live explosives, incendiary materials, hazardous chemicals, as well as the wearing of personal protective equipment. I acknowledge that I am taking this course on my own initiative. I am fully aware of the dangers and risks involved in this course of instruction and realize that neither Oklahoma State University, its Board of Regents, nor the state of Oklahoma is agreeing to act as insurers of my safety. Therefore, in consideration of the permission extended to me by Oklahoma State University to take this course of instruction, I do hereby, forever discharge Oklahoma State University, its Board of Regents, the state of Oklahoma and all its employees, acting officially or otherwise, from any and all claims or causes of action on account of any injury to me or my property which results through no fault or wrongdoing on behalf of Oklahoma State University, its Board of Regents, the state of Oklahoma or its employees during the course of instruction.
My statements on this application are true, complete and correct to the best of my knowledge and belief and are made in good faith. I understand that intentionally withholding, misrepresenting or falsifying information on this form may result in denial of my registration, retention of any collected fees and revocation of any certificates of course completion.
Form of payment:
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