COURSE REGISTRATION FORM
Please
register the following person(s) for classes checked below:
* Feb. 25 - OSHA Trenching, Excavation and Soil Mechanics Training
* Feb. 25 - OSHA Permit Required Confined Space Entry Training
* Mar. 3 - OSHA Electrical Safe Work Practices and NFPA 70E - 2009 Version
* Mar. 4 - Incident Investigation Training & Introduction to Root Cause Analysis
* Mar. 4 - OSHA Record Keeping and Injury Classification Training
* Mar. 11 - Conducting Safety Audits and Inspections
* Mar. 11 - Residential Construction Safety Requirements
* Mar. 18 - Forklift Safety Instructor Development Course
* Mar.. 19 - CPR Certification Training
* Mar. 19 - First Aid Cerification Training
* Mar. 29 - Contractor Safety in Highly Hazardous Work Locations
Name(s)
Company
Address
Phone# Fax # email:
* Check enclosed for person(s): $ * Purchase Order #
* Visa or MasterCard No.
Exp. Date:
Signature:
Please
print out form & Mail to:
Delaware Safety Council, Inc., 3 Old Barley Mill Road, Wilmington DE 19807
or FAX to 1-302-654-4617
Cancellation Policy: Cancellations must be received at least 48 hrs. prior to seminar. There is a 50% charge on late cancellations. No refunds or crdeits can be made on non-canceled registrations. Delaware Safety Council reserves the right to cancel classes in the event of unforeseen circumstances or a lack of enrollments.