2021-2022 Manikin Reservation Form

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Complete the form to reserve a manikin from the Catholic Schools Office. Please note that completing this form does not guarantee that a manikin will be available on the dates you have requested.

In the case that the manikin IS AVAILABLE on the dates you have requested, you will receive a calendar confirmation with instructions on how to pick up the manikin.

In the case that that the manikin IS NOT AVAILABLE on the dates you have requested, you will be contacted by Maria Nely Alcaine via email or phone to adjust the dates. Once the available dates are established you will receive the calendar confirmation with the instructions on how to pick up the manikin.

Manikin Reservation Contact:
Maria Nely Alcaine
malcaine@cathdal.org

School Name *

Your name *

E-Mail *

Phone Number *

How many manikins do you need? *

How many CPR training manuals would you need? (there's 20 available) *

Option 1

Pick-up Date: *

YYYY

Return Date: *

YYYY

Submit

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