CPR & FIRST AID COURSE 4-15-23

CPR/FIRST AID COURSE

*Fill one form out per family. You must hit SUBMIT Button for this form to go through*
ASA Now is proud to present this informative presentation: CPR/First Aid for Foster Parents. Whether it's a simple cut or bruise or a life-threatening emergency, no one wants to see a child or a loved one hurt. The Adult and Pediatric First Aid, CPR & AED certification class will prepare you to recognize and care for a variety of first aid, breathing, and cardiac emergencies involving adults, children and infants. This class meets foster licensing requirements.

This training is for Kinship, Foster or Guardianship parents caring for children in foster care. This training includes Childcare.

Location:

Jacob's Mission Community Center

7830 E. University Dr. Mesa, AZ 85207

623-428-1592

Description:

Our CPR/First Aid course for Foster Parents covers: recognition of emergencies, scene and patient assessment, activating 9-1-1, performing hands only CPR and using an AED, and basic first aid including choking, and injury prevention tips. Traditionally, a bystander who witnessed a cardiac event only performed CPR less than 20% of the time; and the expected survival rate was near 8%. People failed to perform for a number of reasons, but some common reasons are: not knowing what to do, fear of litigation, fear of injuring the victim, and fear of contracting a disease. Some of those reasons were well founded, but far-fetched. Our classes cover these topics, and much more!

- Upon successful completion of this course you will receive a certificate for Adult and Pediatric First Aid/CPR/AED valid for two years.

Sponsorship:

This class is typically $45 per person. This event is sponsored by Brittany Labadie from Lewis Labadie Law Firm. Brittany is known in our community as the "Adoption Attorney". Her website can be found HERE and her email is office@lewislabadie.com and she can be reached at 480-598-8724.

In-Person Training Date & Time:

Saturday April 15th, 2023 1pm to 4pm

Cost:

There is a $10 training charge.

Please note that you must register by Saturday April 8th if you are in need of childcare.

Childcare:

We will do our best to provide childcare to all families who request it, however, our ability to do so depends on the number of volunteers who sign up to help.

Cancellations:

Due to the time and effort that it takes to put these events together, we want you to be aware that there are NO REFUNDS or CREDITS.

Failing to attend or not notifying us will exclude you from attending future Behavior 101 workshops. We understand that emergencies happen. If you are unable to attend, you MUST notify us ahead of scheduled arrival time and we ask that you give us as much notice as possible by calling 623-428-1592. Be sure to leave a voicemail or text if we don't answer.

Feedback:

Our donors and volunteers love feedback. If ASA Now has blessed your life, please take a minute to leave a positive review on Google and/or on our ASA Now Facebook Page or email us at Hope@asanow.org with your testimonial.

To view our upcoming events please search our events tab on Facebook.

www.asanow.org

With Gratitude,

Angela Teachout

Susan Woodruff

Anika Robinson

'Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it's the only thing that ever has". Margaret Mead
We need to capture some important information to help coordinate care.

Please take a moment to fill this form out in it's entirety.

If you are in need of childcare, we ask that you please list children from youngest to oldest.

If a foster child leaves your home or a new one is placed, please let us know as soon as possible.

*Be sure to CONSENT, SIGN & hit the SUBMIT button along with your payment. An automatic confirmation email will be received*
Select Training Date to Attend*

Saturday April 15th, 2023TBD in fall 2023
How will you be attending this event?*

In-person
Will you be needing childcare for this event? (pls note this is not guaranteed)*

YesNo
If you are a Foster or Kinship family, would you like to be considered to receive a free food box at this event?*

YesNo
Are you an (check all that apply)*

Unlicensed Kinship CaregiverLicensed Kinship CaregiverLicensed Foster CaregiverTribal Foster CaregiverCaregiver with Guardianship to Child with Child Welfare Involvement
What events are you interested in learning more about? (check all that apply)*

Jacob's Mission Community Center (after school tutoring, dance, music, life skills, sports)Foster Hope Placement Bags filled with essentialsFoster Hope Food BoxFoster Hope School BackpacksFoster Children's Birthday PartyLife Skills Workshops (age 14 and over)Weekly Food Distribution (Trader Joes, Safeway & Midwest Food)Jacob's Law Presentation (behavioral health timelines)Clothing from our Giving ClosetParent's Night Out for Foster, Kinship & Adoptive FamiliesFamily Social Get Together for Foster, Kinship & Adoptive FamiliesChristmas Event for Foster, Kinship & Adoptive FamiliesChristmas Gifts for Kinship FamiliesYearly Couples RetreatYearly Trauma Mama Retreat
Attendee Name #1*

Last NameFirst Name
Attendee Name #2 (Type N/A if only one attendee)

Last NameFirst Name
Current Address*

Street Address

CityPostal/Zip Code

COUNTY you reside in
Cell Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Total Number of People Currently Living in the Home?*
Includes all Adults and Children
Number of Adults Living in the Home?*
(This includes adult children age 18 and over who are out of high school)
Total Number of Children Living in the Home?*
(Children under 18 and those over 18 who are still in high school)
Number of Foster, Tribal Foster, or DCS Guardianship Children Living in the Home?*
(This does NOT include non-DCS kinship or guardianship without DCS involvement.)
Number of Adopted Children Living in the Home?*
(Under 18 and those over 18 who are still in high school)
Number of Biological Children Living in the Home?*
(Under 18 and those over 18 who are still in high school)
Number of Non-DCS Kinship or Guardianship Children WITHOUT DCS Involvement Living in the Home?*
(Under 18 and those over 18 who are still in high school)
How many adults will be in attendance? *
How many children will be in attendance (if childcare is needed)?*
How many of the total number of children in attendance are foster/tribal/DCS guardianship children?*
Based on family size, does your family fall below the following income levels: One (1) person: $20,385, Two (2) people: $27,465, Three (3) people: $34,545, Four (4) people: $41,625, Five (5) people: $48,705, Six (6) people: $55,785, Seven (7) people: $68,865, Eight (8) people: $69,945. Add $4,720 per additional household member.

YESNO
Is a CPR certificate needed?*

YesNo
If you have a FOSTER, TRIBAL FOSTER, or DCS GUARDIANSHIP CHILD please click YES and enter their information first, otherwise click NO. If you do not need childcare for this event, please click NO.*

YesNo

Click Here to register additional children OR complete registration
Continue with Sign-up

Yes, enter non DCS children for childcareNo, go to consent and submit form (CLICK NO IF YOU DO NOT NEED CHILDCARE)

Click Here to Consent
Liability Release - I do hereby release ASA Now, Jacobs Mission Community Center, their agents, employees, personal representatives, affiliates, and any and all persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, from any and all claims, demands, damages, actions, causes of action or suits of any kind or nature whatsoever, arising out of or in any way relating to injuries and damages, as a result of being present on Jacobs Mission Community Center. I recognize that there may be inherent risks associated with attending or participating in this event. You have been fully informed of your consent, waiver of liability, and release before entering the event.
I have reviewed, understand, and agree to comply with the above terms*

Agree
By attending or participating in this event, you consent to interview(s), photography, audio recording, video recording and its/their release, publication, exhibition, or reproduction to be used for news, web casts, promotional purposes, telecasts, advertising, inclusion on websites, social media, or any other purpose by ASA Now and Jacobs Mission Community Center. Images, photos, and/or videos may be used to promote similar ASA Now events in the future, highlight the event and exhibit the capabilities of ASA Now. You release ASA Now, its officers and employees , and all persons involved from any liability connected with the taking, recording, digitalizing, or publication and use of interviews, photographs, computer images, video and/or sound recordings. By entering the event premises, you waive all rights you may have to any claims for payment or royalties in connection with any use, exhibition, streaming, web casting, televising, or other publication of these materials, regardless of the purpose or sponsoring of such use, exhibiting, broadcasting, web casting, or other publication irrespective of whether a fee for admission or sponsorship is charged. You also waive any right to inspect or approve any photo, video, or audio recording taken by ASA Now, Jacobs Mission Community Center or the person or entity designated to do so by ASA Now. You have been fully informed of your consent, waiver of liability, and release before entering the event.
I have reviewed, understand, and agree to comply with the above terms*

Agree
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CPR/FIRST AID COURSE