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AUTHORIZED PROVIDER AGREEMENTAmerican Red Cross Author��ed Provider Agreemen# This Authorized Pro��ider Agreenient ("A�t�eement") is effecfive as of 10/1/2412 ("Effective Date") by and betrveen the Ameri�an National Red Crass {"Red Cross") and the party agreeing to tl�e teams of this Agr�ement (the °AP") in order t� permit AP's Red C�oss certified instructars ("Instructors") to teach Red Cross trainrng courses ("Gnurses") specified in Appendix 4 within AP's organi7atic�n. if you are accepting on behalf of your e�nptoyer or another entity, you re}�resent and warrani that (i} you have full legal auihority to bind such entity to these terms and conditions, {ii) you have read and understand tlais Agreement, and (iii) you ag�ee, az� behalf of the er��ity ihat yo� rspresent, �Q this A�reement. lf}ou dan'-2 have legal authority t� bind the ,entity, please do'not sign this Agreement. 1. AP Resvonsibilitie5: in connection with offering the Courses, AP agrees that it will: l�l Require its Instructors to maintain Red Cr�ss certifications appropriate for the Courses they will be teaching; l.2 Obiain Red Crass approva] of new AP instiuctors before pennitting such instructors to teach a Course; 1.3 Promptly notify Red Cross of additians and deletions to AP°s roster of instructors as listed on Appendix B; 1.4 Require that Instructors teach Courses using Red Cross Cour�e Materials ("Course Materia3s"), and in accordance with the then-current Red GrossAPResource Guide, policies and procedures (collectively, the "Policies"); 1.5 Operate in accordance �vith ali Red Cross Policies; 1.6 Permit Red Cross to perform random observations of AP's Courses; 7.7 Enter training records into the Learning Center within fen (1�) calendar days of Course compleiion (the "Course Records"}; 1.8 Pay the required fees in conneetion with all Courses; 1.9 Maintain adequate insurance to cover liabilities arising out of AP's operattons and Course instn�ction as Red Cross insurance does not extend to the AP or its lnstructors; and 1.10 Exclusively teach the Red Cross Courses within the AP's organization at the multiple facility loeations s�t forth in Apuendix C; provided however, this exclusivity wil:l be limited solely to the Courses specified on Apnendix A. 2. Red eross Responsibilitiest To faciiitate AP'.s Ct�urse offerings, Red Cross agrees that it wili: 2.1 Make Red Cross training and Gourse Materials available to AP's instructors meetingRed Gross training prerequisites; 2.2 Approve properly submitted CQUrse Reeords and provide certificati�ns for Cours�s, if applicable; �.3 Provide AP with access ta Red Crass electronic re�ource� allowing AP to notify the Red Gross of dates, times and locations of each Course, enter Course Records and print Course certificates. 3. Term and Termination. 3.1 This agreement will be effective as of the Effective I}ate and ends on the day before the thirty six (36) manth anniversary thereof, unless earlier tenninated as provided below. 3.2 Ei#her party may terminaie this �greement with thirCy (30) calendar days ad�•anee written notice to ihe other party. 3.3 Red Cross reserves the right to immediately terminate this Agreement if AP does not abide by the terms of this Agreernent or the Policies. 3.4 Following termination, the parties are still obligated to follow the prqvisions of Sec[ions 4. S, 6 and $ indefinitely. 4'. Fees and Inr�nicine: 4.1 AP will use its best efforts ko comply with the AP Resaurce Guide's preferred payment option for fees and invoices. �.2 �ees are sei forth on Apnendix A. Red Cross will send invoices to the AP after the a}�proval of Course Records. Red Cross wil! not process in�loices for any amount iess than tvuo hundred �fty dollars ($250). Payment terms are net thirty (30) days. Red-Cross reserves the ri�ht to change its fees at .its �ole discretion upon thirty (30) days advar�ce notice of such f�e changes. if the AP do�s not agree to the fee changes, it has the right to tenninate the Agreement pursuant to Section 3. 43 If the Red Cross determines that any course offered by the AP and/or its instructors is not taught in accordance with all Red (;ross Poiicies, the AP is respansible for all cos�ts associated with ihe retraining of eourse participants. Red Gross will determine fhe party, which may include, but is not limited to, the AP or any Red Cross employee, volur�teer, LTP or AP, to offer the retraining in i#s sole discretion. S. Notices: The contaet at th� F#P for this A�,�reement is �, (the AP Representative"). Red Crass will deliver notices to tbe AP at�the foiIg�.vmg mailing address ���u �,� �� �� fi�}..���� :_, ��„y� , ��, and the Red Cross will se�ad invoices� to the following AP b�lling address, if differea�t from the mailing address� � `���"'�� � ���� 6. AP��shal�����deliver notices to �tlbe Red �ross� at b710 �V Sunrise�� Boul�vard, Sait�� 13,1, Piant�tion, Flbri�a� �3313, �i7"�'1V: Patrick Beason with an additionai copy tio 2025,E Street; N.W., Washingfon, DC 200p6, AT1N: Prepa3•edness, Health 8c Safety Szrvices Department. -1- �eraion i 1?�2611 � " �. 7.1 7.2 8. 9. Confidenriality and Intellectual Properly: Except as required by applicable law or otherwise provided herein, each party shall maintain the confidenriality of all provisions of this Agreement or other confidential informarion, documents and materials received for the purposes of this Agreement. Red Cross is the owner of various trade names, trademarks, Course Materials and other copyrighted and proprietary content ("Red Cross IP"). Subject to the terms and condirions of this Agreement, Red Cross hereby grants AP a limited and non- exclusive license to use the Red Cross IP solely in connection with the Agreement and such license may not be assigned or sub-licensed. Course Materials may be downloaded, reused or purchased; however, AP agrees not to revise, edit or create derivarive works of any Course Materials or Red Cross proprietary content, in whole or in part, unless specifically approved in writing by the Red Cross. AP acknowledges and agrees that (1) the Red Cross IP is a valuable asset of Red Cross and substanrial recognition and goodwill are associated with the Red Cross IP, (2) the license granted hereunder does not constitute a transfer to AP of any ownership rights in the Red Cross Marks, and (3) AP's use of the Red Cross IP shall inure solely to the benefit of Red Cross. Upon conclusion of this Agreement, any and all licenses granted to use the Red Cross IP will ternunate immediately. Entire Agreement. Amendments, and Assignments: Concerning the subject matter hereof, this Agreement and the Policies referenced herein constitute the entire agreement between the parties and supersedes all prior agreements and understandings between the parties. This Agreement shall not be amended, modified or assigned unless both parties agree in writing. Independent Contractors: Each party shall perform its responsibilities hereunder as an independent contractor, and nothing herein shall create any association, partnership or joint venture between the parties or an employer-employee relationship. No agent, employee or servant of either party shall be, or shall be deemed to be, the employee, agent or servant of the other party, and each party shall be solely and entirely responsible for its acts and the acts of its agents, employees and servants. The parties, acting through their duly authorized officers, have executed this Agreement, which shall come into force as of the latest date of the signatures below. Execution of this Agreement confirxns AP's receipt of the AP Resource Guide, which may be updated from time to time. CITY OF CLEARWATER-PARKS & RECREATION Signature: Name: Title: THE AMERICAN NATIONAL RED CROSS Signature: PATRICK BEASON Name: PATRICK BEASON �/ Title: TERRITORY AQUATICS SPECIALIST, STATE OF FLORIDA -2- v�s�on i v Zo i i Countersigned: .. c�������,�t1�aj George N. Cretekos Mayor Approved as to form: Laura Lipowski Mahony Assistant City Attorney CITY OF CLEARWATER, FLORIDA By: G'G, /'L�.L;,,,n� D � V`'a""^x�`�, William B. Horne, II City Manager Attest: Rosemarie Call City Clerk APPENDIX A- See addendum A1 for course oricing COURSES, EQUIPMENT, MATERIALS AND FEES 1. Course Fees 2. Training materials, equipment and supplies may be purchased at H-�����,ShooSta��rv�ell.com and w�vw.RedCrossStore.orQ. 3. Special billing or payment instructions (Optional): See Appendix D for Leam-To-Swim information. 4. Additional Services (Optio�al): -3- \'crs;on 1 U 2ot t Addendum A1 Nationat Authorized Provider Course Fees Category Course ID New Course Title Delivery AP Method (LTP) Fee HSSSFA101 First Aid • Classroom $19 � Classroom / Web based HS5SFA101C FirstAid Challenge ■ Classroom $19 HSSSFA109 R First Aid Review � Ciassroom $19 HS5SFA107 Adult CPR/AED • Classroom $19 ■ Classroom / Web based HSSSFA107C Adult CPR/AED Chailenge � Classroom $19 HSSSFA107R Adult CPR/AED Review • Classroom $19 HSSSFA207 Pediatric CPR/AED* • Classroom $19 ■ Class�oom ! Web based HSSSFA207C Pediatric CPR/AED Chalienge ■ Classroom $19 a HSSSFA207R Pediatric CPWAED Review ■ Classroom $19 w a HSSSFA302 Adult CPRJAED with Pediatric CPR ■ Classroom /$19 a Web based v (ONLY) v � HSSSFA303 Adult and Pediatric CPWAED ■ Classroom $19 W � u' HSSSFA303C Adult and Pediatric CPR/AED Challenge ■ Classroom $19 HSSSFA303R Adult_and Pediatric GPRlAED Review • Classroom $19 HSSSFA404 Adult First Aid/GPR/AED • Classroom $27 ■ Classroom / Web based HSSSFA404C adult First Aid/CPR/AED Ghallenge ■ Classroom $19 HSSSFA404R Adult First Aid/CPR/AED Review • Classroom $19 HSSSFA411 Pediatric First Aid/CPR/AED* ■ Classroom $27 ■ Classroom / Web based HSSSFA411 C Pediatric First Aid/CPR/AED Challenge" ■ Classroom $19 HSSSFA411 R Pediatric First AidlCPWAED Review'' • Classroom $19 -1- Version 11/2011 Addendum A1 Nationai Authorized Provider Course Fees Category Course ID New Course Title Delivery New AP Method (TP) fee HSSSFA415 Adult and Pediatric First ■ Classroom $27 Aid/CPR/AED • Classroom / Web based HSSSFA415C Adult and Pediatric First ■ Classroom $19 0 w a a a U 1 �a Q � � Aid/CPR/AED Challenge HSSSFA415R Adult and Pediatric First • Classroom $19 Aid/CPR/AED Review HSSSFA501 Epinephrine Auto-Injector Training • Classroom $8 HSSSFA502 Asthma Inhaler Training ■ Ctassroom $8 HSSSST107 Sports Injury Prevention and First ■ Classroom $27 Aid with Adult and Child CPR/AED HSSSST107C Sports Injury Prevention and First Aid with � Classroom $19 Adult and Child CPR/AED Challenge HSSSST107R Sports Injury Prevention & First Aid with • Classroom $19 Adult and Child CPR/AED Review HSSWFA101 Wilderness and Remote First Aid � Classroom $19 HSSRTE115 Responding to Emergencies ■ Classroom $27 HSSRTE115C Responding to Emergencies Challenge HSSRTE115R Responding to Emergencies Review HSSYTH101 Basic Aid Training HSSBBP101 Bloodbome Pathogens HSSBBP101 Bloodborne Pathogens HSSBBP102 Bloodborne Pathogens for Tattoo Artists HSSPFA201 Cat and Dog First Aid HSSCPR101 Citizen CPR Course ID New Course Title -2- ■ Classroom ( $19 � Classroom I $1 • Classroom $10 • Classroom $10 ■ Web based N/A ■ Web based NIA � Classroom $19 ■ Classroom N/A Delivery New AP Method (TP) Fee \'ersion I ll 2011 Addendum A1 Natinnai Authc�rized Pravider Course Fees � HSSCAR201 Babysitter's'fraining ■ Classroom $10 c ,� m HSSCAR301 Nurse Assistant Training • Classroom $50 � R t� Category Course ID New Course Title Delivery New AP Method (TP) Fee HSSPR0101 CPR/AED for Professional Rescuers and • Classroom $27 Health Care Providers HSSPR0101 C CPR/AED for Professional Rescuers and ■ Classroom $19 Health Care Providers Challenge .. HSSPR0101 R CPR/AED for Professiona{ Rescuers and � Classroom $19 � Health Care Providers Review 0 N m � HSSPR0102 Administering Emergency Oxygen • Classroom $10 � c N HSSPR0102C Administering Emergency Oxygen • Classroom $8 � Challenge ° HSSPR0102R Administering Emergency Oxygen ■ Classroom $8 a Review HSSPR0103 Emergency Medical Response • Classroom $19 HSSPR0103C Emergency Medical Response ■ Classroom $19 Challenge HSSPR0103R Emergency Medical Response • Classroom $19 Review Category Course ID New Gourse Title Delivery New AP Method (TP) Fee HSSADM'f01 Fundamentals oflnstructorTraining • Classroom $1D 'ri�5l�Ctti8us Liieguarding insirucior �incluaes r�eiuxe ■ �iassroom �35 lnstructor Kit HSSAQU808 Water Safety Instructor • Ciassroom $35 a► � HSSCAR801 Babysitter's Training Instructor ■ Classroom $27 _ � HSSCPR701 Citizen CPR Leader Training ■ Classroom N/A � p HSSPFA701 Cat and Dog First Aid Leader ■ Classroom $27 .. 3 HSSPR0801 CPR/AED for Professional Rescuers and ■ Classroom $35 � Health Care Providers Instructor (includes — Deluxe lnstructor Kit H5SPR0805 Emergency Medical Response Instructor ■ Classroom $35 (includes Deluxe lnstructor Kit) HSSSFA80'I First Aid/CPWAED Instructor � Classroom $35 (includes Deluxe lnstructor Kit) -3- Version 11/201 I Addendum A1 National Authorized Provider Course Fees HSSWFA801 j Wiiderness and Remote First Aid instructor (• Classroom I$35 �(includes instructor and participant materials) Items in italics within the course titie columns are not part of the course titles. ' These courses are available in Spanish. NOTE: Instructor Updates and Quick Starts are currently free. Category Course ID New Course Title Delivery New AP Method (TP) Fee HSSAQU201 Parent and Child Aquatics Level 1 ■ Classroom see below HSSAQU202 Parent and Child Aquatics Level 2 � Classroom see below HSSAQU206 Level 1- Introduction io Water Skills ■ Classroom see below HSSAQU207 Level 2- Fundamentals of Aquatic ■ Ctassroom see Skills below HSSAQU208 Level 3- Stroke Development • Classroom see below HSSAQU209 Level 4- Stroke Improvement • Classroom see below HSSAQU210 Level 5- Stroke Refinement • Classroom see below � HSSAQU211 Level 6- Swimming and Skill ■ Classroom see �• Proficiency - Personal Water Safery below R 3 � a HSSAQU212 Level 6- Swimming and Skill • Classroom see Proficienc - Fundamentats of Divin below HSSAQU213 Level 6- Swimming and Skill ■ Classroom see Proficienc - Fitness Swimmer below HSSA�U302 Basic Water Rescue • Classroom $5 HSSAQU402 Lifeguarding • Classroom $35 HSSAQU402C Lifeguarding Challenge • Classroom $27 HSSAQU402R Lifeguarding Review ■ Classroom $27 HSSAQU403 Watertront Lifeguardi�g ■ Classroam $35 HSSAQU404 Waterpark Lifeguarding • Classroom $35 -4- Vcrsion 11 � 201 I Addendum A1 National Authorized Provider +Course Fees NEW 2012 LEARN-TO-SV1/1M PRICING STRUCTURE DETAILS The new pricing package for American Red Cross aquatic providers includes an annual fee for facilities, a set number of Red Cross certificates and free advertising materials. New prices go into effect June 1, 2012. For those customers who wish to sign up earlier, we are offering an early opt-in date of March 1. Facilities that do not ofFer Facilities offering the revised Red Gross the revised Red Cross Life uardin Pro ram Life uardin Pro ram Annual Fee per Facility with Pool $300 $350 Number of Student Leaming Fees included with Annuai Fee (includes Learn-to-Swim Certificaties 150 100 Additional Student Leaming Fees (Learn-to- Swim Certificates included ' $1.00/additional student $1.00/additional student Program eanner, Marketin Posters Included $50 Value Included $50 Value Facilities or agencies that teach multiple Red Cross programs or a high volume of Learn-to-Swim students (e.g., 1,000 or more) are encouraged to contact their American Red Cross Aquatics representative to discuss additionai partnering opportunities. Based upon both program size and/or the facility's ability to partner with the Red Cross to promote a range o# educationat programs, additional incentives may apply: Programs can include Lifeguarding, Lifeguard-f�lanagement, Aquatic Examiner Service, or non-aquatic programs, such as First AidlCPWAED, Babysitting, Caregiving, and others. -5- Version 11J2011 APPENDIX A COURSES, EQUIPMENT, MATERIALS AND FEES * *Clearwater Parks and Recreation Special P�icing Below Arner�can Red Cross -3- .2utborized Prt3��i<I:r �l�retvrteear o. l7; _"tj! t 1. The list of courses, equipment, supplies, course/instructor materials and training materials, including all fees are accessible at www.shopstaywell.com and www.instructorscorner.com 2. Special billing or payment instructions (Optional): n/a 3. Additional Services (Optional): n/a A111�i�G�llt R@tI Ct'OS5 -4- ,2uthorizcrl7'r��ridrrrl�ref^�xr:rtt a°_ 1 f- _'fl � APPENDIX B Name Contact Information Email Address Current Address, City, State, Phone Number Instructor Zi Certification Kathy LaTerza PO Box 4748 Kathy.laterza@m WSIT, WSI, LGI, Clearwater, FL 33758 yclearwater.com EMRI, CPR/AED/FA Mark Roberson PO Box 4748 mark.roberson@ WSIT, WSI, LGI, Clearwater, FL 33758 myclearwater.co CPR/FA/AED m Barbara Moon PO Box 4748 Barbara.moon@ WSIT, LGIT, Clearwater, FL 33758 myclearwater.co WSI, LGI, m CPR/AED/FA JP Atherholt PO Box 4748 jp.atherholt@myc WSI, LGI, EMRI, Clearwater, FL 33758 learwater.com CPR/FA/AED Libby Pearce PO Box 4748 Elizabeth.pearce WSI, LGI, Clearwater, FL 33758 @myclearwater.c CPR/FA/AED om Miguel A Tambucho PO Box 4748 miguel.tambucho WSI, LGI, Clearwater, FL 33758 @myclearwater.c CPR/FA/AED om Cliff Patterson PO Box 4748 cliff.patterson@m WSIT, WSI, LGI, Clearwater, FL 33758 yclearwater.com CPR/FA/AED Nate Bowne PO Box 4748 Nate.bowne(a�m,� WSI, LGI, Clearwater, FL 33758 earwater.com CPR/FA/AED APPENDIX B ,:: ,, 4 , � ! � . _�� ;�_�_� A.���_��. _�._. Name Contact Information Email Address Current Address, City, State, Phone Number Instructor Zi Certification Wayne Lindsey PO Box 4748 wayne.lindsey@ WSI Clearwater, FL 33758 myclearwater.co m Liz Graham PO Box 4748 liz.graham@mycl WSI Clearwater, FL 33758 earwater.com Maia Oehl PO Box 4748 maia.oehl@mycl WSI, LGI Clearwater, FL 33758 earwater.com Jere Gunderman PO Box 4748 Jere.Gunderman CPR/FA/AED Clearwater, FL 33758 @myclearwater.c om James Pleasant PO Box 4748 james.pleasant@ WSI Clearwater, FL 33758 myclearwater.co m Katherine Schroeder PO Box 4748 katherineschroed WSI Clearwater, FL 33758 er@gmail.com Erin Moore PO Box 4748 Themoores@tam WSI Clearwater, FL 33758 pabay.rr.com Ariela Yasova PO Box 4748 ayasova@ufl.edu WSI, LGI Clearwater, FL 33758 APPENDIX B -_.!�� ���1�,f���<a..l._� ; d Name Contact Information Email Address Current Address, City, State, Phone Number Instructor Zi Certification Carly Colbert PO Box 4748 Carlycolber@gm WSI Clearwater, FL 33758 ail.com Aaron Pleasant PO Box 4748 mr.jPleasant@g WSI Clearwater, FL 33758 mail.com Caroline McMahon PO Box 4748 carolinem@mail. WSI Clearwater, FL 33758 usf.edu Colleen Sears PO Box 4748 csears1694@yah WSI Clearwater, FL 33758 oo.com Rebecca Woodworth PO Box 4748 beckycatswim@a WSI Clearwater, FL 33758 ol.com Nick Johnson PO Box 4748 njohnson52@ufl. WSI Clearwater, FL 33758 edu Kyle Peters PO Box 4748 k.peters530@gm WSI Clearwater, FL 33758 ail.com Alyssa Cory PO Box 4748 al.cory@yahoo.c WSI, LGI, Clearwater, FL 33758 om CPR/FA/AED APPENDIX B Name Contact Information Email Address Current Address, City, State, Phone Number Instructor Zi Certification Megan Dodson PO Box 4748 dodsonmegan@ WSI, Clearwater, FL 33758 ymail.com Lyndsie Cory PO Box 4748 lynsie.cory@gma WSI, Clearwater, FL 33758 il.com Ana Villada PO Box 4748 girllove098@yah WSI, Clearwater, FL 33758 oo.com Dylan Lossaso PO Box 4748 truhordylan@gm WSI Clearwater, FL 33758 ail.com Mary Rachel Mc PO Box 4748 jcmcentire@com WSI Entire Clearwater, FL 33758 cast.net Steven Rowland PO Box 4748 WSI Clearwater, FL 33758 Julianne Capri PO Box 4748 WSI Clearwater, FL 33758 Zack Greene PO Box 4748 WSI Clearwater, FL 33758 APPENDIX B ' ��� t.� ",. d..�. .�! :� . Name Contact Information Email Address Current Address, City, State, Phone Number Instructor Zi Certification Morgan LaTerza PO Box 4748 WSI Clearwater, FL 33758 Tracy Newman PO Box 4748 WSI Clearwater, FL 33758 Shelby Griffin PO Box 4748 WSI Clearwater, FL 33758 Hali Nelson PO Box 4748 WSI Clearwater, FL 33758 John Zach Maloney PO Box 4748 WSI Clearwater, FL 33758 Luke Maloney PO Box 4748 WSI Clearwater, FL 33758 Ashley Rinaldi PO Box 4748 WSI Clearwater, FL 33758 PO Box 4748 Clearwater, FL 33758 APPENDIX C MULTIPLE FACILITY CONTACTS Facility Name and Address Contact Name Phone Number Fax Number E-mail Address The Long Center Mark Roberson 727-793-2320 1501 N. Belcher Rd 727-793-2328 Clearwater, FL 33765 mark.Robersonn,mycle arwater.com Morningside Pool Libby Pearce 727-507-4065 2400 Harn Blvd 727-507-4261 Clearwater, FL 33764 Elizabeth.pearce ,mycl earwater.com Ross Norton Complex Karen Sowada 727-462-6025 1426 S. MLK Ave 727-462-6554 Clearwater, FL 33756 Karen.Sowada(a�mycle arwater.com N. Greenwood Complex Karen Sowada 727-462-6276 900 S. MLK Ave 727-462-6282 Clearwater, FL 33765 karen.sowada m clearwater.com Clearwater Beach Family Aquatic JP Atherholt 727-462-6020 Center 727-462-6574 51 Bay Esplanade jp.Atherholt@myclear Clearwater, FL 33767 water.com April 2006 APPENDIX D: I,EARN-TA-SWIM ORGANIZATION REGISTRATION Directions for Aquatics Providers with multiple sites: Complete one copy of this appendix per facility ("sub-organization") teaching Learn-To-Swim. Please complete all fields, taking care to ensure that all entries are legible. Learn-To-Swim sub-Organization Information LTS Sub-Organization/Facility Name The Long Center *LTS Sub-Organization ID (Provided by Red Cross) **Street Address (No P.O. Box) 1501 N. Belcher Rd City, State, ZIP Clearwater, FL 33756 Web Address myClearwater.com Primary Contact Name and Title Mark Roberson, Recreation Supervisor I Email Address Mark.roberson@mvclearwater.com Secondary Contact Name and Title Nate Bowne, Pool Guard Email Address Nate.bowne@mvclearwater.com Address PO Box 4748 City, State, ZIP Clearwater, FL 33758 *The LTS Sub-Organization ID should be referenced on all Course Records. **The Authorized Provider Package will be shipped to this address. � APPENDIX D: IEARN-TO-SWIM ORGANIZATION REGISTRATION Directions for Aquatics Providers with multiple sites: Complete one copy of this appendix per facility ("sub-organization") teaching Learn-To-Swim. Please complete all fields, taking care to ensure that all entries are legible. Learn-To-Swim sub-Organization Information LTS Sub-Organization/Facility Name North Greenwood Recreation and Aquatic Complex *LTS Sub-Organization ID (Provided by Red Cross) **Street Address (No P.O. Box) 900 N. Martin Luther King Ave City, State, ZIP Clearwater, FL 33755 Web Address myClearwater.com Primary Contact Name and Title Miguel Tambucho, Aquatic Programmer Email Address mi�uel.tambucho@mvclearwater.com Secondary Contact Name and Title Kathy LaTerza, Recreation Program Coordinator Email Address Kathv.laterza@mvclearwater.com Address PO Box 4748 City, State, ZIP Clearwater, FL 33758 *The LTS Sub-Organization ID should be referenced on all Course Records. **The Authorized Provider Package will be shipped to this address. � APPENDIX D: LEARN-TO-SWIM ORGANIZATION REGISTRATION Directions for Aquatics Providers with multiple sites: Complete one copy of this appendix per facility ("sub-organization") teaching Learn-To-Swim. Please complete all fields, taking care to ensure that all entries are legible. Learn-To-Swim sub-Organization Information LTS Sub-Organization/Facility Name Ross Norton *LTS Sub-Organization ID (Provided by Red Cross) **Street Address (No P.O. Box) 1426 S. Martin Luther King Ave City, State, ZIP Clearwater, FL 33756 Web Address myClearwater.com Primary Contact Name and Title Barbara Moon, Recreation Programmer Email Address barbara.moon@mvclearwater.com Secondary Contact Name and Title Kathy LaTerza, Recreation Program Coordinator Email Address Kathv.laterza@mvclearwater.com Address PO Box 4748 City, State, ZIP Clearwater, FL 33758 *The LTS Sub-Organization ID should be referenced on all Course Records. **The Authorized Provider Package will be shipped to this address. APPENDIX D: IEARN-TO-SWIM ORGANIZATION REGISTRATION Directions for Aquatics Providers with multiple sites: Complete one copy of this appendix per facility ("sub-organization") teaching Learn-To-Swim. Please complete all fields, taking care to ensure that all entries are legible. Learn-To-Swim sub-Organization Information LTS Sub-Organization/Facility Name Morningside Pool *LTS Sub-Organization ID (Provided by Red Cross) **Street Address (No P.O. Box) 2400 Harn Blvd City, State, ZIP Clearwater, FL 33764 Web Address myClearwater.com Primary Contact Name and Title Libby Pearce, Recreation Programmer Email Address elizabeth.pearce@mvclearwater.com Secondary Contact Name and Title Kathy LaTerza, Recreation Program Coordinator Email Address Kathv.laterza@mvclearwater.com Address PO Box 4748 City, State, ZIP Clearwater, FL 33758 *The LTS Sub-Organization ID should be referenced on all Course Records. **The Authorized Provider Package will be shipped to this address.