Content
N. 34 page 2 GWRRA MEDIC FIRST AID ® TRAINING PROGRAMS
GOLD WING ROAD RIDERS ASSOCIATION, INC.
RIDER EDUCATION PROGRAM MEDIC FIRST AID ® TRAINING PROGRAMS
CarePlus Class Roster
Primary Instructor_________________________________________
GWRRRA
Number
Last Name of Student
First Name of Student
Course Date __________________
Chest
Compressions
Rescue
Breaths
Primary
Assessment
CPR
Basic AED
Personal
Safety Gloves
Control of
Bleeding
1
2
3
4
5
6
7
8
9
10
11
12
The students listed above have demonstrated competent performance, without assistance, of the skills I have checked off.
Signature of Primary Instructor ______________________________________________________________________
Complete both pages. Send ORIGINALto MEDIC FIRST AID ® Coordinator or Region Educator, who will retain the ORIGINAL and
mail a copy to LYDIA BOURG 935 ELDRIDGE ROAD #355 SUGAR LAND, TEXAS 77478 or email to [email protected]
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Revised January 2015