March 14th Registration – Medical Tactical Global

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March 14th Registrationkkemp2019-12-18T16:11:19+00:00

March 14^th Med Tac Program We will be teaching Bystander Care targeting the 8 leading causes of death of children, youth, and young adults. See the article describing the program in Campus Safety Magazine, https://www.campussafetymagazine.com/news/what-is-bystander-care/.

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General Flier
Scouts Flier
Faith-Based Flier

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March 14th Registration

NAME: (This is how your name will show on certificate after course completion.)

Email Address:

Mobile Phone Number:

CHECK THE FOLLOWING THAT APPLY:

If a School Leader, School Nurse, Security Member, Teacher, or Representative:

No Yes

School *

Role: *

Are you a Scout or Scout Troop Leader or Parent:

No Yes

Troop: *

Are you a Boy Scouts of America Orange County Council Staff or Volunteer:

No Yes

Role: *

Department and Location: *

If Saddleback Church Staff or Volunteer:

No Yes

Department and Location: *

If a Worship Center Security, Volunteer, Staff, or Health Team Member:

No Yes

Organization: *

Role: *

If a Professional First Responder or Caregiver:

No Yes

Lifeguard: *

Security Detail: *

Professional Healthcare Worker including EMT:

Other:

Are you CPR/AED Certified?

Not Certified

American Heart Association Certified

American Red Cross Certified

Other

Date Certified (Optional)

Do you have Stop the Bleed Training Certifications with American College of Surgeons?

Not Certified

Stop the Bleed Certified

New Participant Training

Basic Med Tac Training Certificates : You will earn two certificates: Med Tac and Stop the Bleed with American College of Surgeons. (8:00AM 2:00 PM) *

Yes

No

AHA Heartsaver CPR/AED Certificate in addition to the Med Tac Basic Training. (8:00AM 4:00 PM and must pay $26 to American Heart Association) *

Yes

No

Med Tac Health Security Certificate for security and healthcare volunteers who register for this certificate. 8:00AM 2:00 PM if currently CPR certified. If no current CPR/AED certification, you must stay for Heartsaver ® CPR/AED Certificate. (8:00AM 4:00 PM) *

Yes

No

Med Tac Health Security Certificate for security and healthcare volunteers who register for this certificate. 8:00AM 2:00 PM if currently CPR certified. If no current CPR/AED certification, you must stay for Heartsaver ® CPR/AED Certificate. (8:00AM 4:00 PM) *

Yes

No

To become a Stop the Bleed Instructor with the American College of Surgeons *

Yes

No

To become be a Full Med Tac Instructor which means both a CPR/AED Instructor with American Heart Association and Stop the Bleed Instructor with the American College of Surgeons. *

Yes

No

For Those with Prior Med Tac Training:

I have already received a Med Tac Certificate this year, however, want to earn the AHA Heartsaver CPR/AED Certificate . (10:00AM 2:00 PM and must pay $26 to American Heart Association) *

Yes

No

I have already received a Med Tac Certificate this year, however, want to earn the Med Tac Health Security Certificate as a security or medical volunteer for a faith based organization. (the time required during this session depends on which courses you have already taken with Med Tac. We will follow up. *

Yes

No

Special Interests

I want to start a Med Tac Program at my organization or in my community. *

Yes

No

I want to learn how to run a Med Tac Community Service event to produce Stop the Bleed kits for my school, scout group, or organization. *

Yes

No

I would like to become CPR/AED Instructor with the American Heart Association. *

Yes

No

I am a professional first responder, professional caregiver, EMT, trainer, or coach and I would like to become a Stop the Bleed instructor with the American College of Surgeons. *

Yes

No

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