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First Aid Verification

Symbol Key: *Required Information, ! Error

Club name:
 
Club president's name:
Club president's e-mail:
 
First aid manager's name:
First aid manager's e-mail:
 
Provide the names of those certified in Standard First Aid and CPR for adults:




 

I verify that the student sport club listed above possesses a first aid kit, stocked sufficiently with supplies as outlined in the Sport Club Policy and Procedure Manual, and that this kit will be on hand at every club practice and competition.

In addition, I verify that one club member, the first aid manager, will be in charge of restocking the supplies as they are depleted.

In addition, I verify that the individual(s) listed above is/are certified in Standard First Aid and CPR for adults, and that there will always be at least one of these persons at every club practice and competition.
I agree to the
statement above:		 yes