Thursday, October 30, 2008

2008 Winter Conference Registration Form

                                                                                                                                                                                                

                            

        Winter Coaches Conference Registration

November 23rd, 2008

      

       9:00am -10:00am              Program and Development Update

       10:00am – 1:00pm             CRP Training

       1:00pm  -  1:30pm            Lunch

 

Stony Brook University

 

Name: ____________________________________

 

Address: ______________________________________City:_________

 

Zip: _________     Phone Number: __________________________

 

  Email address: ___________________________________

 

Training Club(s): ________________________________________________________

 

Please Check One:

 

__ Yes, I will be attending the Conference.  I am already CPR Certified.

 

__ Yes, I will be attending the Conference. I would like to become CPR Certified.

 

                                         Please Fax, Mail or e-mail back to: 

           Special Olympics New York, Long Island Region

     819 Grand Blvd Suite #3

Deer Park, NY 11729

Attn: Casey Reisig

                                                         Fax (631) 254-1469

        creisig@nyso.org

 

Please respond by Tuesday November 18th, 2008

 

If you are already a certified coach

  PLEASE bring your rosters