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The Fisherman’s Wharf Community Benefit District’s PIERsafe Committee will host their second annual community-wide emergency response practice drill on Friday, October 17, 2008 at Aquatic Park (Jefferson and Hyde streets). To register to attend, please complete the form below. More information about the event is available
here
.
First Name:
Last Name:
Company:
Address:
City:
State:
Zip:
Phone:
Email:
Are you NERT Certified?
Yes
No
Would you like to become
NERT Certified?
Yes
No
Which of the following apply to you? Please select “Yes” or “No.”
First Aid Certified
Yes
No
CPR Certified
Yes
No
AED Certified
Yes
No
Medical Training
Yes
No
Emergency Medical Technician
Yes
No
Mechanical Engineer
Yes
No
Other
Would you like to participate as a Volunteer Victim at the drill?
Yes
No
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