SVOR Red Cross CPR Certification Course 6-8-24

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TO ENROLL IN THE SVOR RED CPR CERTIFICATION COURSE

Please fill out this FORM ands check which date you will attend

RED CROSS CPR- CERTIFICATION COURSE & RECERTIFICATION COURSES & RED CROSS FIRST AID (separate)

LOCATION: MASONIC HALL • 40 Main Street (Downstairs)

INSTRUCTORS: Josh Belury & Alex King

FEES: For SVOR members & Southampton High School Students the cost is covered and you will not have to pay

FEES: If you are not a member of SVOR or not a student as Southampton High School - the cost is $60 and includes a pocket mask kit

CPR SCHEDULE (Dates & Times):

*to complete the Red Cross Pool/Waterfront LG course you MUST COME TO 1 of the Red Cross CPR classes

Saturday, June 8th 8:00AM-12:00PM - first time CPR

Saturday, June 8th 9:00AM-12:00PM - Recert CPR

FIRST AID (separate and not mandatory with CPR )

Saturday, June 8th 12:30PM-5:00PM - first time CPR

There is no additional fee if you are taking this course with CPR

Maximum of 20 participants combined classes of RED CROSS CPR Cert & ReCert

Once full you will be waitlisted
You will be notified by email if you are waitlisted

Email *

CPR: to complete the Red Cross Pool/Waterfront LG course you MUST COME TO a Red Cross CPR class

*SVOR Members are welcome to sign up for any CPR Class (without taking the LG course)

ALL SVOR MEMBERS are required to CPR certify annually!

PLEASE SIGN UP for CPR and/or FIRST AID

below

Saturday, June 8th 8:00AM-12:00PM - First Time CPR

Saturday, June 8th 9:00AM-12:00PM - Recert CPR

Saturday, June 8th 12:30PM-5:00PM - FIRST AID (separate and an optional addition to CPR)

Required

Full Name (as you want it to appear on your certification) *

Cell Phone # *

Mailing Address *

Birthday *

YYYY

SH HIGSCHOOL STUDENTS & SVOR MEMBERS *

Current Southampton High School Student

Active Member of Southampton Village Ocean Rescue (SVOR)

If 18 years old would like to join or considering joining SVOR

None of the Above

Required

Emergency Contact (cell phone) & relationship *

By submitting this form your are signing up to take the above Red Cross CPR Certification Class

*If you enroll and your plans change please email us at
SouthamptonVOR@gmail.com with "SVOR CPR Cert Course " in the subject

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