Children's Camp Additional Staff Qualifications. DOH-367a - Children's Camp Additional Staff Qualifications - health ny 2025

1. Click ‘Get Form’ to open the Children's Camp Additional Staff Qualifications form in the editor.
2. Begin by entering the facility name and code at the top of the form, along with the opening and closing dates of your camp.
3. For each staff member, fill in their name, provider, course title, and issue date under the Progressive Swimming Instructor section. Ensure you refer to Section 7-2.5(f) for requirements.
4. Complete the Lifeguard Certification section by listing staff names and dates of birth. Include their CPR certification details as required by Sections 7-2.5(g) and 7-2.11(a).
5. In the Additional First Aid and CPR Staff section, document staff names and certifications ensuring compliance with Section 7-2.8.
6. List counselor data by indicating the number of counselors proposed for your camp session, categorized by age and gender.
7. If applicable, provide details for any Riflery Instructors including their name, date of birth, certification, and issue date.
8. Finally, certify that all information is accurate by signing at the bottom of the form before submission.

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