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Student Registration

3 Day DI-NOC Training & Test: 11/13/2024 - 11/15/2024

Student Information

*Course Selection
*Job Title
*First Name
*Last Name
*E-mail Address
*Primary Phone
Other Phone
Certifications (Select all that apply)
How did you hear about Lowen Certified? (check all that apply)
Company Name
Company Website
*Street Address
Address Cont.
*Type your Zip Code & press ENTER:

Lowen Certified believes in Equal Opportunity, if you have any special needs or considerations that we need to be aware of, please let us know here.

Company Information

Do you or your company print signs and/or graphics? Yes No
Do you or your company perform site surveys? Yes No
Do you or your company install interior products, rigid substrates or Point of Purchase signage? Yes No

Student Supplies

This Training Class suggests that you have the following tools which are not supplied directly by Lowen Certified. Below, please indicate if you have the tool and plan on bringing it with you (Not advised if you are coming by plane) or if you want to purchase the item from Lowen Certified and have it waiting for you when you arrive.

For your convenience we have put together supply kits at a reduced price. However if you would like to buy supply items separately you can do that also.

The Graphic Installers Kit includes all the tools necessary in order to complete the installation job.

Kit Price: $290.31

Graphic Installer Kit
This kit contains:
  1. Cargo Bag
  2. Utility Pouch
  3. SprayMaster Chemical Spray Bottle
  4. Blue Felt Edge Squeegee
  5. Hard Plastic Squeegee
  6. Rectangle Felt Pad
  7. Crescent Moon-Shaped Felt Pad
  8. 2 Lil Chizlers
  9. OLFA Steel Breakaway Knife
  10. OLFA Blade Disposable Case
  11. Pointed Tweezers
  1. Retractable Air Release Tool
  2. Rivet Brush
  3. Magic Pad
  4. Advance Seam Buster Cutting Tool
  5. Glass Scraper
  6. Black and White Stabilo Pencils
  7. Seamstress Tape Measure
  8. Measuring Tape
  9. RollePro Installation Tool
  10. Bernzomatic TS4000 Trigger Start Torch

Student Legal Forms

Form 1 of 3

INSTALLATION TRAINING LIABILITY, DAMAGE, AND PERSONAL INJURY DISCLAIMER

WHEREAS, I am 18 years of age and I am a voluntary participant in an elective graphic installation training program at Lowen Corporation's facility at 1121 North Halstead, Hutchinson, Kansas 67501; and

WHEREAS, during my training I acknowledge that I will be using and handling razor knives, torches, heat guns, ladders, scaffolds, adhesives and other tools and materials, during the installation training classes and to the best of my knowledge I do not have any physical or medical condition which will affect my ability to use said tools or materials; and.

NOW THEREFORE, in consideration of my participation in the graphic installation training program at Lowen Corporation's facility at 1121 North Halstead, Hutchinson, Kansas 67501, I agree to hold Lowen Corporation and its officers, directors, employees, related corporations or entities and agents, harmless from and against any and all liability, expenses, charges, losses, claims (actual and alleged), damages, or suits, including claims for attorney's fees and costs, for any property damage or personal injury which arise as a result of my attendance of the training classes at the Lowen Corporation premises.

I hereby acknowledge that I have read and understand the terms of this disclaimer.

Please enter your initials into the field below if you agree with the Legal Form above. If you are registering for someone else, indicate this by checking below.

Note: The Student will be required to sign this form BEFORE any testing or training can begin.

I Agree (Enter Initials)


Form 2 of 3

LOWEN CORPORATION PHOTOGRAPHIC RELEASE FORM

WHEREAS, I am 18 years of age and I am a voluntary participant in an elective graphic installation training program at Lowen Corporation's facility at 1121 North Halstead, Hutchinson, Kansas 67501; and

WHEREAS, during the course of the training program I acknowledge that my image may be photographed in print or electronic format and I have provided biographical information about myself.

NOW THEREFORE, I hereby unconditionally assign and transfer to Lowen Corporation, or its assignees, all right, title, interest and claims, including without limitation, the copyright therein to any photographic images of me whether in print (including negatives) or electronic format. I further authorize Lowen Corporation, or its assignees, to use my name, image, likeness and biographical information, whether in print (including negatives) or electronic format, for advertising, publicity and promotional purposes, including, without limitation, online announcements without any additional compensation to me.

I hereby acknowledge that I have read and understand the terms of this release.

Please enter your initials into the field below if you agree with the Legal Form above. If you are registering for someone else, indicate this by checking below.

Note: The Student will be required to sign this form BEFORE any testing or training can begin.

I Agree (Enter Initials)


Form 3 of 3

VISITOR'S CONFIDENTIALITY AGREEMENT As a part of my visit to Lowen Corporation's facility at 1111 North Airport Road, Hutchinson, Kansas 67501, on (11/13/2024)___________________, I will be allowed to enter into restricted areas which contain equipment, machinery, materials, customer lists, orders, information, and processes which are confidential in nature.

I agree to hold all information gained in such visit strictly confidential and will neither disclose, nor discuss, such equipment, machinery, materials, information, processes, customers and orders, or any information related thereto, with any person not an officer, director, employee or agent of Lowen Corporation.

I also agree to hold Lowen Corporation and its officers, directors, employees, related corporations and agents, harmless from and against any and all liability, expenses, charges, losses, claims (actual and alleged), damages, or suits, including attorney's fees and costs, for personal injury or property damage which arise as a result of my visit to Lowen Corporation's premises.

TEL: 800.835.2365 ' FAX: 888.765.6936 ' PO Box 1528 ' Hutchinson, KS 67504-1528 ' www.lowen.com

Please enter your initials into the field below if you agree with the Legal Form above. If you are registering for someone else, indicate this by checking below.

Note: The Student will be required to sign this form BEFORE any testing or training can begin.

I Agree (Enter Initials)



We have included information on lodging and car rental for you, where we have been given discounts.

Hotel
  • Comfort Inn
  •   1601 Super Plaza, Hutchinson KS. 67501
  •   Phone: 620-669-5200
  •   Rate: $79.99/night
  •   Includes daily hot breakfast, evening appetizers
  •   Tell them you are attending Lowen Certified classes
  • Super 8 Motel
  •   1621 Super Plaza, Hutchinson KS 67501
  •   Phone: 620-663-7822
  •   Rate: $55.00/night
  •   Tell them you are attending Lowen Certified classes
  • Hampton Inn Hutchinson
  •   1401 1 2 E 11th Ave, Hutchinson, KS 67501
  •   Phone: 620-663-7822
  •   Rate: $99.99/night
  •   Tell them you are attending Lowen Certified classes
Travel
  • If flying here rather than driving, You will want to fly to Eisenhower National Airport, Wichita KS. (ICT) Hutchinson is about 50 miles from Wichita.
  • Car Rental available at Wichita Airport
  • Budget - compact car with unlimited mileage discount
  • To reserve a car, Go to budgetwichita.com. Our code or Corp ID to use is LS67501.
Upon submission you will be redirected to your checkout page for payment.