Please reserve a place for me at Midlakes
Re-Certification

Location: Edgebrook Club

Date:  Saturday May 22nd

Time: 10 am - 2 pm

Cost:       $25.00 for CPR &
AED

$50 for all certification

Please make checks payable to:
TBD

Courses will be taught in the
following order:

AED, CPR, First Aid, LGT/Coaches
Safety

Please bring textbooks/manuals and
your own personal mask for CPR

Saturday May 22nd

Name

Phone

E-mail

Club Name

I currently do/do not have the following
certifications:

Standard First
Aid
No    Yes  \ Expiration Date

USA Swimming
Credentials     No    Yes  \ Expiration Date

Coaches Safety
Training        No    Yes
\
Expiration Date

Lifeguard
Training
No    Yes  \ Expiration Date

Comments:

**
REMINDER:  Copies of all certifications are due to the League prior to the
first meet and can be handed in to the League Vice President at the 2010
mandatory Coaches Meeting Thursday May 20th, 4:30pm at Interlake High
School.

Any
questions please contact Laura
Halter.

Coaches
Certification Requirements

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