Transcript Slide 1

CPR & FIRST AID
CERTIFICATION
AMERICAN
CAMP
ASSOCIATION
NY & NJ
Please mail , fax, or email
this form to:
ACA, New York and New Jersey
1375 Broadway - 4th Floor
New York, NY 10018
Tel: 212.391.5208
Fax: 866.553.9264
[email protected]
Contact Person: ____________________________________
Camp/Organization: _________________________________
Address: __________________________________________
City: ______________________ State: ____ Zip _________
Telephone: ________________________________________
E-mail: ___________________________________________
The American Camp Association, NYNJ is offering this course to meet
the Department of Health summer camp requirements. Our facilitators
provide all course materials, high-quality instruction, and Red Cross
Certificates. Our courses are informative, engaging, and ensure that
participants are knowledgeable about emergency situations.
CPR for the Professional Rescuer
Responding to Emergencies: First Aid
CPR Pro and RTE (Together)
Attendee Name
Member
$85
$85
$150
E-Mail Address
Non-Member
$95
$95
$175
Date
Fee
*All courses will be held in midtown Manhattan. A confirmation email
will be sent out with additional information prior to the course.
CPR for the Professional Rescuer (CPR Pro)
Thursday, November 13th (9:30am – 2:30pm)
Thursday, December 11th (9:30am – 2:30pm)
Thursday, January 15th (9:30am – 2:30pm)
Total Due
If you have more than 4 staff that require training, please send a list of attendees with
email addresses to [email protected].
Responding to Emergencies: First Aid (RTE)
Friday, November 14th (9:30am – 5:00pm)
Friday, December 12th (9:30am – 5:00pm)
Friday, January 16th (9:30am – 5:00pm)
For more information, or if you would like to set up an onsite training, please
contact Allison WIttenberg at 212-391-5208 or [email protected].
Check
Credit Card
Purchase Order (attach copy)
Credit Card Number: ____________________ Expiration _________
Name: __________________________________________________
Signature: _______________________________________________