Hands Only CRP | Instructional

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How did you find out about this event?*

Are you a member of The Clubhouse*

On what day is this Hands Only CPR event?

Date

For our planning purposes, please let us know how many attendees will be coming with you in each of the following age categories. Please include yourself in the "Adult 18+" group.

How many children 12-17 years old?

How many adults 18+ years old (please include yourself in this number)?

This class may include content covering true stories of death due to obstruction of air pathways and similar. This information will be shared sensitively, but with enough candor to make an impact on participants. Please use this information to determine if your family is ready to attend.*

I understand and accept

The Clubhouse along with their event partners may photograph images of me and/or my family, in whole or in part, at this event and publish them for promotional purposes online or in print.*

I understand and accept

I take full responsibility (financially and otherwise) for the medical needs that may arise as a result of my family's participation with The Clubhouse in Holly Hill, including but not limited to allergies, minor first aid issues, accidents, communicable diseases etc. I understand that this class will be at a facility with a pool onsite and agree to read and follow all posted signage for my safety.*

I understand and accept

I understand this is not a "drop-off" event and I must be responsible and accountable for all the minors attending with me. I will ensure the minors in my care understand aggressive or crass behavior towards others, both verbal and physical, may result in our removal from the event. Our group will review and follow the Clubhouse's code of conduct in advance and commit to comply.*

I understand and accept

You may view the code of conduct here:

Click to view/read code of conduct

I understand this event is made possible by The Clubhouse and Heart Safe SC and is intended to be accessible and a blessing to as many families as possible. And so, I understand that even though the event is free, there are still real expenses associated with the planning and execution of this event. In light of this, I commit to email info@theclubhousehollyhill.com if I am no longer able to attend, so that planning for materials and volunteers can be as accurate as possible.*

I understand and accept

I recognize that The Clubhouse will have a check-in process for this event. And, if I have registered for prior events with The Clubhouse and have not followed through to cancel in advance when necessary, The Clubhouse reserves the right to cancel my registration for this event and they will contact me to let me know.*

I understand and accept

Do you have any questions or is there anything our planning team can help you with?

Hands Only CPR | Instructional