LICENSED TRAINING PROVIDER AGREEMENTAmerican
Red Cross
Preparedness and Health and Safety Services
Licensed Training Provider Agreement
This Licensed Training Provider Agreement ( "Agreement ") is by and between the American National Red Cross
( "Red Cross ") and the party listed in Appendix A (the "LTP ") in order to permit LTP's Red Cross certified
instructors ( "Instructors ") to teach the Red Cross training courses ( "Courses ") specified on Appendix B within the
jurisdictions listed in Appendix B.
1. LTP Responsibilities. In connection with offering the Courses, LTP agrees that it will:
1.1. Require that its Instructors maintain Red Cross certifications appropriate for the Courses they will be
teaching;
1.2. Promptly notify Red Cross of additions and deletions to LTP's roster of Instructors listed in Appendix C;
1.3. Obtain Red Cross confirmation of the certification status of new LTP Instructors before permitting such
Instructors to teach a Course;
1.4. Be responsible for the oversight of LTP's Instructors and require that they teach Courses using Red
Cross course materials ( "Course Materials "), and offer Courses in accordance with the then - current
Red Cross LTP Resource Guide, policies and procedures (collectively, the "Policies ");
1.5. Permit Red Cross to perform random observations of LTP's Courses;
1.6. Notify the Red Cross of all scheduled Courses at least three (3) business days before the scheduled
Course start date;
1.7. Enter training records and required information into the Learning Management System ( "LMS ") or any
successor system within ten (10) calendar days of Course completion (the "Course Records ");
1.8. Pay the required fees in connection with all Courses;
1.9. Maintain adequate insurance to cover liabilities arising out of LTP's operations and Course instruction
as Red Cross insurance does not extend to the LTP or its Instructors.
2. Red Cross Responsibilities. To facilitate LTP's Course offerings, Red Cross agrees that it will:
2.1. Make Red Cross training and Course Materials available to LTP's Instructors meeting Red Cross training
prerequisites;
2.2. Approve properly submitted Course Records and provide certifications for Courses, if applicable;
2.3. Provide LTP with access to Red Cross electronic resources allowing LTP to notify the Red Cross 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 Date listed in Appendix A and ends on the day
before the thirty six (36) month anniversary thereof, unless earlier terminated as provided below.
3.2. Either party may terminate this Agreement with thirty (30) calendar days advance written notice to the
other party.
3.3. Red Cross reserves the right to immediately terminate this Agreement if LTP does not abide by the
terms of this Agreement or the Policies.
3.4. Following termination, the parties are still obligated to follow the provisions of Sections 4, 5, 6 and 8
indefinitely.
4. Fees and Invoicing.
Red Cross Licensed Training Provider Agreement - Updated: 01.01.2015; Modified 09.29.2015pb Page 1
American
Red Cross
Preparedness and Health and Safety Services
4.1. LTP will comply with the LTP Resource Guide's preferred payment options, such as prepay, credit card,
check, money order and bank transfer.
4.2. Fees are set forth on Appendix B. Red Cross will not process invoices for any amount less than five
hundred dollars ($500). Payment terms are net thirty (30) days. Red Cross reserves the right to change
its fees and payment processes in its sole discretion upon thirty (30) days advance notice of such
changes. If the LTP does not agree to such changes, it has the right to terminate the Agreement
pursuant to Section 3.
4.3. If the Red Cross determines that any course offered by the LTP and /or its Instructors is not taught in
accordance with Red Cross Policies, the LTP is responsible for any costs associated with the retraining of
course participants. Red Cross, in its sole discretion, will determine the appropriate party to conduct
the retraining, which may include LTP or any Red Cross employee, volunteer, LTP or AP.
5. Notices. Each party's contact for notices under this Agreement is listed on Appendix A.
6. Confidentiality and Intellectual Property.
6.1. Except as required by applicable law or otherwise provided herein, each party shall maintain the
confidentiality of all provisions of this Agreement or other confidential information, documents and
materials received for the purposes of this Agreement.
6.2. 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 conditions of this Agreement, Red
Cross hereby grants LTP 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, LTP agrees not to revise, edit or create derivative works of
any Course Materials or Red Cross proprietary content, in whole or in part, unless specifically approved
in writing by the Red Cross. LTP acknowledges and agrees that (1) the Red Cross IP is a valuable asset of
Red Cross and substantial recognition and goodwill are associated with the Red Cross IP, (2) the license
granted hereunder does not constitute a transfer to LTP of any ownership rights in the Red Cross
Marks, and (3) LTP'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 terminate
immediately.
7. 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.
8. 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 confirms LTP's receipt of the LTP
Resource Guide, which may be updated from time to time.
Red Cross Licensed Training Provider Agreement - Updated: 01.01.2015; Modified 09.29.2015pb Page 2
American
Red Cross
Preparedness and Health and Safety Services
LTP Name or City of Clearwater -Parks &
Company Name: Recreation
American Red Cros
ilr
Company Signature:
Red Cr. 1 ' W AMY
Name:
Name: A . .7111r.' hrondsen
Title:
Title: Aquatic Territory Sales Rep
Date:
Date:
/
Red Cross Licensed Training Provider Agreement - Updated: 01.01.2015; Modified 09.29.2015pb Page 3
City Signature Page for
Licensed Training Provider Agreement between
City of Clearwater and American Red Cross
Countersigned:
9rte Cr Ado;
George N. Cretekos
Mayor
Approved as to form:
Matthew M. S th
Assistant City Attorney
CITY OF CLEARWATER, FLORIDA
By: aticc,..-
William B. Horne, II
City Manager
Attest:
Rosemarie CaII
City Clerk
American
Red Cross
Preparedness and Health and Safety Services
Licensed Training Provider Agreement
Appendix A — Contact Information
Effective Date: 9/30/15
Company Contact Information [fields with an asterisk ( *) must be completed]
Business /LTP Name *
City of Clearwater -Parks & Recreation
Address PO Box 4748
CLEARWATER, FL 33758
Fax (727) 462 -6574
Primary Contact Name * Kathy Laterza
Primary Phone * (727) 462 -6276
Secondary Phone
Email kathy.laterza @myclearwater.com
Billing Contact Name Kathy Laterza
Billing Contact Phone (727) 462 -6276
Email kathy.laterza @myclearwater.com
Billing Address PO Box 4748
CLEARWATER, FL 33758
Red Cross Contact Information
Name Amanda Throndsen
Phone (813) 309 -7581
Email amanda.throndsen @redcross.org
Red Cross Internal Use Only
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Red Cross Licensed Training Provider Agreement - Updated: 01.01.2015; Modified 09.29.2015pb Page 4
American
Red Cross
Preparedness and Health and Safety Services
Licensed Training Provider Agreement
Appendix B — Courses, Equipment, Materials, and Fees
1. Course Fees
Courses Offered by LTP
Per Person Fee
First Aid (HSSSFA101)
19.00
Adult CPR /AED (HSSSFA107)
19.00
Pediatric CPR /AED (HSSSFA207)
19.00
Adult and Pediatric CPR /AED (HSSSFA303)
19.00
Adult First Aid /CPR /AED (HSSSFA404)
27.00
Pediatric First Aid /CPR /AED (HSSSFA411)
27.00
Adult and Pediatric First Aid /CPR /AED (HSSSFA415)
27.00
Babysitter's Training (HSSCAR201)
10.00
Wilderness and Remote First Aid (HSSWFA101)
19.00
Basic Water Rescue (HSSAQU302)
10.00
Junior Lifeguarding (HSSAQU101)
10.00
Lifeguarding (HSSAQU402)
35.00
Waterfront or Waterpark Skills (HSSAQU410, HSSAQU409)
19.00
Lifeguarding and Waterfront or Waterpark Skills (HSSAQU410, HSSAQU409)
35.00
Lifeguarding with Bundle **
35.00
Lifeguarding and Waterfront or Waterpark Skills with Bundle **
35.00
Water Safety Instructor (HSSAQU808)
35.00
Lifeguarding Instructor (HSSAQU803)
35.00
2015 Learn -to -Swim Facility Fee
See chart on Page 2
*NOTE: Additional classes can be added as needed, please contact your Red Cross representative as listed on
page 4 of the agreement.
* *Bundle options include a combination of the following courses: Administering Emergency Oxygen, Bloodborne
Pathogens Training, Asthma Inhaler and Epinephrine Auto Injector.
Red Cross Licensed Training Provider Agreement - Updated: 01.01.2015; Modified 09.29.2015pb Page 5
American
Red Cross
Preparedness and Health and Safety Services
Learn to Swim Facility Fee
Annual Volume of
Enrollees
2015 Learn -to -Swim
Facility Fee (required to
teach Learn -to -Swim
program)
— per pool
Facilities that offer Red Cross
Lifeguarding
Facilities that do not offer
Completion
Cards Included
Red Cross Lifeguarding
0 -75
$200
$240
75
76 -500
$300
$360
500
501 -999
$650
$780
1000
1000+
$975
$1,170
1500
Returning Learn to Swim customers may register for 2015 Learn -to -Swim and pay Learn -to -Swim
going to https: / /classes.redcross.org /instructor/ authentication /login.html ?feeOption= Facility -fee.
facility fee by
New Learn -to -Swim customers can opt in to the 2015 Learn -to -Swim
www.redcross.org /LTSenroll.
program by visiting
2. Equipment and Materials
Training equipment, materials and other supplies may be purchased at www.RedCrossStore.org.
3. Method of Payment
Credit /Debit Card Red Cross - issued PO#
*NOTE: A Red Cross representative will contact you regarding the method of payment chosen.
Please do not include any payment details on this agreement.
4. Additional Services (Optional)
Red Cross Licensed Training Provider Agreement - Updated: 01.01.2015; Modified 09.29.201Spb Page 6
American
i Red Cross
Preparedness and Health and Safety Services
Licensed Training Provider Agreement
Appendix B — Courses, Equipment, Materials, and Fees (continued)
5. Jurisdiction(s) Where LTP Is Authorized to Offer Courses
1. Florida
4.
2.
5.
3.
6.
6. Red Cross Competitors with Whom LTP Is Affiliated ( isted alphabetically and in no order of importance)
❑ American Heart Association (AHA)
❑ American Safety & Health Institute (ASHI)
❑ Ellis and Associates
❑ Emergency Care and Safety Institute (ECSI)
p Health and Safety Institute (includes ASHI and
Medic First Aid)
❑ National Aquatic Safety Company (NASCO)
❑ National Safety Council
❑ Starfish Aquatics Institute
❑ SwimAmerica
❑ Young Mens Christian Association (YMCA)
If there are more than eleven (11) courses taught by this provider that need to be listed, please list them on the
Addendum to Appendix B for AP and LTP Agreements.
Addendum(s) Attached? ❑ Yes ® No Quantity, if yes: Select Number
Red Cross Licensed Training Provider Agreement - Updated: 01.01.2015; Modified 09.29.2015pb Page 7
American
Red Cross
Preparedness and Health and Safety Services
Addendum to Appendix C — Instructors
(For AP and LTP Agreements)
Use this form if there are more than ten (10) instructors associated with the provider. Instructors who will be
teaching on behalf of your business /organization /school should be listed below. Each instructor should have a
complete profile in the American Red Cross Learning Center that includes up -to -date contact information,
including email address, mailing address, phone number and current instructor certifications.
Business /Organization /School Name City of Clearwater - North Greenwood Pool
Number of Addendum(s) to Appendix C Attached of
Instructor Name
Example:
Saily Safety
Learning Center
Username
saltysafct`v edcross.orq
Email Address and Phone
sallysofety@)redcross.ora
Current Instructor
Certification(s)
First Aid /CPR /AED!nstractor
Babysitter's Training Instructor
202.303.0000
Patrick Carter
patrick.carter @myclearw
ater.com
Email:
patrick.carter @myclearwate
r.com
Phone: 727.462.6276
Lifeguard Instructor
First Aid /CPR /AED Instructor
Water Safety Instructor
Ana Villada
ana_villadal @yahoo.co
m
Email:
ana_villada1 @yahoo.com
Phone: 727.244.2487
Water Safety Instructor
Maggie Kivett
maggiekivett @ufl.edu
Email:
maggiekivett @ufl.edu
Phone: 561.707.8589
Water Safety Instructor
Conrad Burton
blake.burtonl0 @yahoo.c
om
Email:
blake.burtonl0 @yahoo.com
Phone: 727.303.1407
Water Safety Instructor
Rafael Burgess
rafaelburgessjr @aol.com
Email:
rafaelburgessjr @aol.com
Phone: 727.712.6562
Water Safety Instructor
Elaine Diaz
ediaz3angels @gmail.com
Email:
ediaz3angels @gmail.com
Phone: 727.637.4580
Water Safety Instructor
Savannah Summy
scs727 @yahoo.com
Email: scs727 @yahoo.com
Phone: 727.434.0379
Water Safety Instructor
Email:
Phone:
Addendum to Appendix C - Additional Instructors - Updated: 02.12.2013
Page 1
American
Red Cross
Preparedness and Health and Safety Services
Addendum to Appendix C — Instructors
(For AP and LTP Agreements)
Use this form if there are more than ten (10) instructors associated with the provider. Instructors who will be
teaching on behalf of your business /organization /school should be listed below. Each instructor should have a
complete profile in the American Red Cross Learning Center that includes up -to -date contact information,
including email address, mailing address, phone number and current instructor certifications.
Business /Organization /School Name City of Clearwater Ross Norton Pool
Number of Addendum(s) to Appendix C Attached of
Instructor Name
Example:
Sally Safety
Learning Center
Username
su/lysafety @redcross.orq
Email Address and Phone
salfysafety @redcross
202.303.0000
Current instructor
Certification(s)
First Aid/CPR/MD Instructor
Rabysitter`s Training Instructor
Nick Johnson
nejohnson52 @gmail.com
Email:
nejohnson52 @gmail.com
Phone: 727 - 599 -4414
Water Safety Instructor
Darby Oakes
darbyallison2 @gmail.co
m
Email:
darbyallison2 @gmail.com
Phone: 727 - 331 -3433
Water Safety Instructor
Ryan Ramirez
ryanram @me.com
Email: ryanram @me.com
Phone: 727 - 510 -2464
Water Safety Instructor
Aaron Pleasant
mr.jpleasant @gmail.com
Email:
mr.jpleasant @gmail.com
Phone: 727 - 871 -4833
Water Safety Instructor
Madison Kiolh
kiloh5 @tampabay.rr.com
Email:
kiloh5 @tampabay.rr.com
Phone: 352 - 678 -9632
Water Safety Instructor
Mary Mcmahon
Tronox14 @gmail.com
Email: Tronox14 @gmail.com
Phone: 727 - 543 -4047
Water Safety Instructor
Shane Jensen
shanejensen3 @aol.com
Email:
shanejensen3 @aol.com
Phone: 727 - 239 -1485
Water Safety Instructor
Wayne Lindsey
wayne.lindsey @myclear
wter.com
Email:
wayne.lindsey @myclearwat
er.com
Phone: 727 - 463 -1905
Water Safety Instructor
Lifeguard Instructor
Addendum to Appendix C - Additional Instructors - Updated: 02.12.2013
Page 1
American
Red Cross
Preparedness and Health and Safety Services
Addendum to Appendix C — Instructors
(For AP and LTP Agreements)
Use this form if there are more than ten (10) instructors associated with the provider. Instructors who will be
teaching on behalf of your business /organization /school should be listed below. Each instructor should have a
complete profile in the American Red Cross Learning Center that includes up -to -date contact information,
including email address, mailing address, phone number and current instructor certifications.
Business /Organization /School Name City of Clearwater - Morningside Pool
Number of Addendum(s) to Appendix C Attached 1 of 2
Instructor Name
Example:
Sally Safety
Learning Center
Username
saIIysafety{ redcross.ora
Email Address and Phone
satlysafetyC redcross.orq
Current Instructor
Certification(s)
First Aid /CPR /AED Instructor
Bobysitter`s Training Instructor
202.303.0000
Alexandra Eustis
alexeustis @gmail.com
Email:
alexeustis @gmail.com
Phone: 727 - 422 -2208
Water Safety Instructor
Megan MacLean
meganmcln1291 @aol.co
m
Email:
meganmcln1291 @aol.com
Phone: 727 - 244 -2935
Water Safety Instructor
Bailee Schroeder
baileeschroeder27 @gmai
I.com
Email:
baileeschroeder27 @gmail.c
om
Phone: 727 - 215 -2244
Water Safety Instructor
Zachary Green
zatgreen9577 @gmail.co
m
Email:
zatgreen9577 @gmail.com
Phone: 516 - 581 -9894
Water Safety Instructor
Rebecca
Hamburg
rebecca.hamburg @yaho
o.com
Email:
rebecca.hamburg @yahoo.c
om
Phone: 727-688-1648
Water Safety Instructor
Megan Smith
meganmsmith3l @hotma
il.com
Email:
meganmsmith3l @hotmail.c
om
Phone: 727 - 667 -3790
Water Safety Instructor
Clare McMahon
claremcmahon456 @gmai
I.com
Email:
claremcmahon456 @gmail.c
om
Water Safety Instructor
Addendum to Appendix C - Additional Instructors - Updated: 02.12.2013
Page 1
American
Red Cross
Preparedness and Health and Safety Services
Addendum to Appendix C - Additional Instructors - Updated: 02.12.2013 Page 2
Phone: 727- 269 -4256
Kelsi Sheldon
mustangs1016 @gmail.co
m
Email:
mustangs1016 @gmail.com
Phone: 727 - 519 -3455
Water Safety Instructor
Lukasz Swiderski
lukaszlswiderski @gmail.
corn
Email:
lukaszlswiderski @gmail.co
m
Phone: 727- 278 -1259
Water Safety Instructor
Nate Bowne
nate.bowne @myclearwa
ter.com
Email:
nate.bowne @myclearwater.
com
Phone: 727 - 999 -0976
Water Safety Instructor;
Lifeguarding Instructor
Addendum to Appendix C - Additional Instructors - Updated: 02.12.2013 Page 2
American
Red Cross
Preparedness and Health and Safety Services
Addendum to Appendix C — Instructors
(For AP and LTP Agreements)
Use this form if there are more than ten (10) instructors associated with the provider. Instructors who will be
teaching on behalf of your business /organization /school should be listed below. Each instructor should have a
complete profile in the American Red Cross Learning Center that includes up -to -date contact information,
including email address, mailing address, phone number and current instructor certifications.
Business /Organization /School Name City of ClearwaterThe Long Center
Number of Addendum(s) to Appendix C Attached 1 of 2
Instructor Name
Example:
Sally Safety
Learning Center
Username
sallysafety @redcrass ora
Email Address and Phone
sallysafety@redcross.orq
202.303.0000
Current Instructor
Certification(s)
First Aid /CPR/AEA Instructor
Babysitter's Training Instructor
Kaleb Smith
smithkalebdaniel2015 @g
mail.com
Email:
smithkalebdaniel2015 @gma
il.com
Phone: 727 - 271 -6513
WSI instructor
Kim Smith
SmithKimberlyAnn7 @gm
ail.com
Email:
SmithKimberlyAnn7 @gmail.
com
Phone: 727 - 505 -3172
WSI instructor
Caleb Mello
calebmello @gmail.com
Email:
calebmello @gmail.com
Phone: 727 - 251 -2850
WSI instructor
Mitchell Shedd
mitchellcws @aol.com
Email: mitchellcws @aol.com
Phone: 727 - 449 -8182
WSI instructor
Jonathan Shedd
jps2017 @gmail.com
Email: jps2017 @gmail.com
Phone: 727 - 742 -5960
WSI instructor
Elizabeth Graham
lizgraham7 @yahoo.com
Email:
lizgraham7 @yahoo.com
Phone: 727 - 542 -9639
WSI Instructor
Email:
Phone:
Email:
Phone:
Email:
Addendum to Appendix C - Additional Instructors - Updated: 02.12.2013
Page 1
tAmerican
Red Cross
Preparedness and Health and Safety Services
Addendum to Appendix C — Instructors
(For AP and LTP Agreements)
Use this form if there are more than ten (10) instructors associated with the provider. Instructors who will be
teaching on behalf of your business /organization /school should be listed below. Each instructor should have a
complete profile in the American Red Cross Learning Center that includes up -to -date contact information,
including email address, mailing address, phone number and current instructor certifications.
Business /Organization /School Name City of Clearwater /The Long Center
Number of Addendum(s) to Appendix C Attached 1 of 2
Instructor Name
Example:
Sally Safety
Learning Center
Username
sallvsafetvl)redcross.c ra
Email Address and Phone
sallvsafetyC)red €ross.orc
Current Instructor
Certification(s)
First Aid /CPR/AED Instructor
Babysitter's Training Instructor
202.303.0000
Mark Roberson
mark.roberson @myclear
water.com
Email:
mark.roberson @myclearwat
er.com
Phone: 727 - 793 -2320
Lifegaurd instructor
WSI instructor Trainier
First Aid /CPR/ AED instructor
Cliff Patterson
cliff.patterson @myclear
water.com
Email:
cliff.patterson @myclearwat
er.com
Phone: 727 - 793 -2320
Lifegaurd instructor
WSI instructor Trainier
First Aid /CPR/ AED instructor
James Pleasant
james.pleasant @myclear
water.com
Email:
james.pleasant @myclearwa
ter.com
Phone: 727 - 793 -2320
Lifegaurd instructor
WSI instructor
First Aid /CPR/ AED instructor
Emily Kring
kekrin9 @gmail.com
Email: kekrin9 @gmail.com
Phone: 404 - 955 -3248
Lifegaurd instructor
WSI instructor
First Aid /CPR/ AED instructor
Margarete
DeSoleil
desoleilaquatics.gamil.co
m
Email:
desoleilaquatics.gamil.com
Phone: 1- 406 - 531 -6082
WSI instructor
Melissa Miller
melissa.miller @myclearw
ater.com
Email:
melissa.miller @myclearwat
er.com
Phone: 727 - 793 -2320
WSI instructor
Addendum to Appendix C - Additional Instructors - Updated: 02.12.2013
Page 1
American
Red Cross
Preparedness and Health and Safety Services
Alicia Schrader
schrader.alicia @gmail.co
m
Email:
schrader.alicia @gmail.com
Phone: 727 - 479 -8949
WSI instructor
Thomas Hooker
Thomas.hooker @myclear
water.com
Email:
tom.hooker @hotmail.com
Phone: 813 - 770 -2981
WSI instructor
Ingrid Brustad
Ibrustad @tampabay.rr.c
om
Email:
Ibrustad @tampabay.rr.com
Phone: 727 - 686 -9514
WSI instrutor
Amber Hulon
ambharbs3055 @gmail.co
m
Email:
ambharbs3055 @gmail.com
Phone: 727 - 417 -5819
WSI instructor
Addendum to Appendix C - Additional Instructors - Updated: 02.12.2013 Page 2
Preparedness and Health and Safety Services
Licensed Training Provider Agreement
Appendix C - LTP Instructors
Instructors who will be teaching on behalf of your business /organization /school should be listed below. Each
instructor should have a complete profile in the American Red Cross Learning Center that includes up -to -date
contact information, including email address, mailing address, phone number and current instructor
certifications.
Instructor Name
Learning Center
Usernanie
Email Address and Phone
Current instructor
Certification {s}
Kathy LaTerza
kathy.laterza @myclearw
ater.com
Email:
kathy.laterza @myciearwate
r.com
Phone: 727 -462 -6276
WSIT; EMRI; LGI;
FA/CPR /AED instructor
Luke Maloney
loadedwithpulp @yahoo.
com
Email:
loadedwithpulp @yahoo.co
m
Phone: 727- 612 -0638
WSI
Josh Kowalski
joshuajkowalski @gmail.c
am
Email:
joshuajkowalski @gmail.com
Phone: 727- 688 -7240
WSI
Sierra Kingman
sierra_kingman @yahoo.c
om
Email:
sierra_kingman @yahoo.com
Phone: 727- 831 -8760
WSI
Veronica
McCumber
vlmccumber @yahoo.com
Email:
vlmccumber @yahoo.com
Phone: 803- 210 -9965
WSI
Jade Porter
porter.jade217 @gmail.co
m
Email:
porter.jade217 @gmail.com
Phone: 727 -424 -0452
WSI
JP Atherholt
2839052
Email:
jp.atherholt @myclearwater.
corn
Phone: 727- 462 -6020
WSI, LGTI, EMRI, CPR /FPR I
Red Cross Licensed Training Provider Agreement - Updated: 01.01.2015
Page 8
American
Red Cross
Preparedness and Health and Safety Services
Licensed Training Provider Agreement
Appendix D Facility Locations
Please provide information regarding each of the facilities in which Red Cross training will take place.
Facility Name and Address
Facility Contact Name
Facility Contact's Email Address and Phone
Name: Clearwater Beach Family
Aquatic Center
Address: 51 Bay Esplanade
Clearwater, FL 33767
JP Atherholt
Email: JP Atherholt @myclearwater.com
Phone: 727 -462 -6020
Name: Long Center
Address: 1501 N. Belcher Rd
Clearwater, FL 33765
Mark Roberson
Email: mark.roberson @myclearwater.com
Phone: 727 -793 -2320
Name: Morningside Pool
Address: 2400 Ham Blvd
Clearwater, FL 33764
Nate Bowne
Email: Nate.bowne @myclearwater.com
Phone: 727 -507 -4064
Name: North Greenwood Complex
Address: 900 N. Dr Martin Luther King
Ave, Clearwater, FL 33755
Patrick Carter
Email: Patrick.carter @myclearwater.com
Phone: 727 - 462 -6276
Name: Ross Norton Complex
Address: 1426 S. Dr Martin Luther King
Ave, Clearwater, FL 33756
Wayne Lindsey
Email: wayne.lindsey @myclearwater.com
Phone: 727 -462 -6025
Name:
Address:
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Name:
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If there are more than eight (8) training facilities that need to be listed, please list them on the Addendum to
Appendix D for AP and LIP Agreement s.
Addendum(s) Attached? ED Yes No Quantity, if yes: Select Number
Red Cross Licensed Training Provider Agreement - Updated: 01.01.2015
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