CPR Training

Sunday, October 29, 2017
4:00 PM 5:00 PM 16:00 17:00

Google Calendar ICS

Training Registration Form

In addition to completing the registration form below, please provide a list of attendees who will be attending the training session via the Attendee Listing Form below.

Attendees will have approximately a 30-minute lunch break. Lunch will not be provided, so please plan meal accommodations prior to the day of training (whether ordering in, bringing your own lunch, etc.).

Please submit your "Training Registration Form" and "Attendee Listing Form" no later than two weeks prior to the scheduled training session. Space is limited, so it is recommended that you submit your form as soon as possible. Once your registration form is received, a confirmation email will be sent. If special accommodations are needed, please contact Stephanie at (706) 971-3221 to discuss your needs. Thank you for your participation!

Name

First Name

Last Name

Email Address

Date of Training

(i.e. 01/01/2018)

Type of Training

Reason for Attending

Number of Attendees who provide DHS Coordinated Transportation

Number of attendees who DO NOT provide DHS Coordinated Transportation

*Note: A $20 fee will be charged for each attendee who does not participate in the coordinated transportation program but is employed with a subcontractor for Transit Alliance Group, Inc. A $40 fee will be charged for the general public.

You will need to fill out the Attendee Listing Form below at least 2 weeks prior to training.

Do you agree to send that within the allocated time frame? Understand that failure to send form may cause loss of registration.

Yes, I Agree

Attendee Listing Form

Please provide a list of attendees who will be attending the training session on the form below. The first name should be the person who the registration is under.

Date of Training

(i.e. 01/01/2018)

Type of Training

(i.e. PASS, or Defensive Driving)

Name 1

Responsible Party Training Registration is Under.

First Name

Last Name

Name 2

First Name

Last Name

Name 3

First Name

Last Name

Name 4

First Name

Last Name

Name 5

First Name

Last Name

Name 6

First Name

Last Name

Name 7

First Name

Last Name

Name 8

First Name

Last Name

Name 9

First Name

Last Name

Name 10

First Name

Last Name

Name 11

First Name

Last Name

Name 12

First Name

Last Name

Name 13

First Name

Last Name

Name 14

First Name

Last Name

Name 15

First Name

Last Name

Name 16

First Name

Last Name

Name 17

First Name

Last Name

Name 18

First Name

Last Name

Name 19

First Name

Last Name

Name 20

First Name

Last Name

Name 21

First Name

Last Name

Name 22

First Name

Last Name

Name 23

First Name

Last Name

Name 24

First Name

Last Name

Name 25

First Name

Last Name

Additional Info:

Please list any additional info or names here.

Calendar

CPR Training

Training Registration Form

Attendee Listing Form