WAIVER AND RELEASE OF LIABILITY AGREEMENT WAIVER AND RELEASE OF LIABILITY AGREEMENT

I voluntary participate to undergo PFT with full knowledge of the inherent risk, hazards I voluntary participate to undergo PFT with full knowledge of the inherent risk, hazards
and dangers involved and hereby assume any and all risks of injury, paralysis or and dangers involved and hereby assume any and all risks of injury, paralysis or
death. death.

I have carefully read, clearly understand and voluntary sign this waiver and release I have carefully read, clearly understand and voluntary sign this waiver and release
agreement. agreement.

______________________ ______________________
(Signature) (Signature)
Proctor/Examiner Proctor/Examiner

Jippy O Espraguera Jippy O Espraguera

Sgt (QMS) PA Sgt (QMS) PA
BSSO NCO BSSO NCO
Noted by:
FRNKLIN T SINOY Noted by:
CPT (CE) PA FRANKLIN T SINOY
Chief BSSO CPT (CE) PA
Chief BSSO