CrisisReady Howard County
Event Registration
May - Hot Weather Preparedness
and
Certified CPR Training
Full Name
*
First Name
Last Name
Phone Number: If the CrisisReady event you have registered for is rescheduled at the last minute, we will call you to inform you of the change.
E-mail: If you attend the CPR Certification, your CPR certificate will be emailed to the email address you provide.
*
example@example.com
At which location do you plan to attend the CrisisReady presentation?
*
Greentown Century Villa Community Room on May 1st at 6:30pm
Kokomo-Howard County Public Library Main Branch, Meeting Rooms A & B, on May 8th at 5:30pm
Russiaville Lions Club on May 22nd at 6:30pm
Do you plan on attending the Certified CPR first aid skills training following the presentation? The training will take approximately 90 minutes. Registration is required.
*
Yes. I understand that this training cost $25. I may pay via cash, Venmo, or Zelle the night of the training.
No
For what purpose are you attending the Certified CPR first aid skills training
My job requires it
Babysitting
Lifeguard
Just in case I need to know it
Other
Are you a healthcare provider?
Yes
No
I'm in training
If you plan on bringing friends or family with you and they are not registering, please provide an estimate of how many people will attend with you.
If you are bringing people with you, are they also planning to stay for the Certified CPR training (Registration is required for the CPR course)?
Yes, they are attending the course
No, they are not attending the course
We take pictures of our events for social media and for local and state reports of our activities. Please confirm that youconsent to your picture, if taken, to be used in these reports and to posted to the social media.
*
Yes, any pictures I am may be used in the reports and posted to social media.
No, any pictures that I am should not be used in the reports or posted to social media. (You will have to let us know during the event so we can avoid placing you in pictures. We do NOT accept responsibility for accidentally posting your picture if we are not informed at the event.)
Would you like to receive a monthly email reminder about upcoming CrisisReady events?
Yes
No
Submit
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