PHASTAR River Ambassador Program Registration
Those who would like to participate in the River Ambassador Program must complete a series of trainings in order to serve as a River Ambassador.
All participants are REQUIRED to attend the Indoctrination Training to be held on Saturday, July 27, 2019 from 9:00am to 2:00pm. For those who are not yet First Aid/CPR/AED certified, PHASTAR is also offering a training class for that on July 23, 2019 from 6:00pm to 10:00pm.
Registration for both Paddle Ambassador Indoctrination and the First Aid/CPR/AED course can be completed on this single form.
* Required
Email address
*
Your email
I would like to register for the following training(s)
*
Select at least one training below
First Aid/CPR/AED Certification course on Tuesday, July 23, 2019
River Ambassador Indoctrination Training on Saturday, July 27, 2019 (REQUIRED FOR ALL)
Required
Full Name (First & Last)
*
Your answer
Phone
*
Your answer
Address
*
Your answer
Do you have ACA Instructor Level 1 or 2 Certification?
Paddlers who already have ACA Level 1 or 2 certification need only attend the First Aid/CPR/AED course and the River Ambassador Indoctrination. If you are not ACA certified yet, you will be required to attend either the ACA Stand-Up Paddle Board or Kayak training to be held on July 24, 2019. SUP Registration:
https://www.clevelandmetroparks.com/parks/programs-events/2019/or/july/american-canoe-association-aca-paddlesports-safety
and Kayak Registration:
http://bit.ly/KayakSafetyFacilitator
Yes
No
Are you First Aid, CPR & AED Certified?
*
Yes
No
If you are already First Aid/CPR/AED certified, when does your certification expire:
Please provide month and year of expiration. You will be required to provide a copy of your certification; please bring to the July 27th River Ambassador Indoctrination training.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Discover Aviation Center.
Report Abuse
Forms