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| 2004 Aquatic Course Registration Back I Home I Course Schedule I Pool Weasel.com | |
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Registration Deadline is ONE
Week before the course begins
* PAYMENT must accompany registration Please PRINT a completed registration form for each course you plan to take. Date: _____________ Location of Course:_______________________________________________________ Name of Course:_________________________________________________________ Date of Course:__________________________________________________________ Name of Student: ________________________________________________________ Address: _______________________________________________________________ City: __________________________State: ______ Zip:_________ E-Mail: ________________________________ Daytime Phone: _______________________ Evening Phone: _____________________ In case of Emergency, Please Notify: _________________________________________ Daytime Phone: _______________________ Evening Phone: _____________________ Relationship: ____________________________________________________________ I have read and understand the “Health Precautions and Guidelines during Training”. I have also read and understand the Red Cross policies regarding cancellation, attendance, pretest screening, and requirements for passing and will adhere to all conditions and guidelines for the program. I meet the required prerequisites including age for this program. (Attach a photocopy of your driver’s license, valid I.D. or birth certificate. You may be required to show proof of age at class. Signature: ______________________________________________________________ Parents Signature If a Minor: ________________________________________________ Any request for transfer or refund must be made one week prior to the scheduled course. No more than one transfer will be permitted. For emergency situations call the local Red Cross chapter that you registered through and leave a message (24hours). The American Red Cross reserves the right to cancel classes with less than 10 paid participants. Refunds will be given if the American Red Cross cancels a course. Processing a refund can take two to three weeks. Please Note:
Method of Payment Some chapters will accept VISA or Mastercard. Please contact the host chapter for more information or if you have questions regarding registration. Ask for the H&S Director. Please send check or money order with this registration form to the host chapter. Make check payable to American Red Cross Aquatic Institute See below: |
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Asheville – Aquatic Institute Asheville Area Mountain Chapter American Red Cross 100 Edgewood Road Asheville, NC 28804 |
Greenville – Aquatic Institute Pitt County Chapter American Red Cross 601F Country Club Drive Greenville, NC 27834 |
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Conover –
Aquatic Institute Catawba Valley Chapter, American Red Cross P.O. Box 1329 Hickory, NC 28603 |
Raleigh – Aquatic Institute Triangle Area Chapter American Red Cross P.O. Box 14405 Raleigh, NC 27620 |
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Greensboro – Aquatic Institute Greensboro Chapter American Red Cross P.O. Box 14710 Greensboro, NC 27415-4710 |
Roanoke Rapids – Aquatic Institute Twin Rivers Chapter American Red Cross 516 North Church Street Roanoke Rapids, NC 27804 |
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Goldsboro - Aquatic Institute Wayne County Chapter, American Red Cross 600 N. George Street Goldsboro, NC 27530 |
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| Health
Precautions and Requirements for Training:
As a participant in this course, you will be practicing skills on a partner and a manikin. The practice sessions require physical activity. If you have a medical condition or disability that may prevent you from taking part in these practice sessions, or if you have any of the conditions listed below, please notify your instructor. Please request a separate training manikin prior to class if you have:
The American Red Cross has trained millions of people in First Aid and CPR using manikins as training aids. According to the Centers for Diseases Control (CDC), there has never been a documented case of any disease caused by bacterial, a fungus, or a virus transmitted through the use of training aids, such as manikins used for CPR. The American Red Cross follows widely accepted guidelines for cleaning and decontaminating training manikins. When these guidelines are followed, the risk of any kind of disease transmission during training is extremely low. Attendance Requirements: You must attend all sessions for the course. Tardiness and /or absenteeism will disrupt the flow of the course and not be tolerated. Make-ups are not allowed. What to bring:
Class Time On the day of the class, it is extremely IMPORTANT that you arrive on time. In order to received certification, participants must attend the entire course |
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