2013 New York State Technical Rescue Conference

Transcription

2013 New York State Technical Rescue Conference
MARCH 8-10, 2013 • NYS ACADEMY OF FIRE SCIENCE, MONTOUR FALLS, NY
OPEN TO ALL FIRST RESPONDERS
The Technical Rescue Conference will Include
Workshops on the Following Technical Rescue Topics:
• Swiftwater Rescue/Water Rescue
• Rope Rescue/ Confined Space
• Structural Collapse Rescue /Trench Rescue
• Vehicle/Machinery Rescue
• Technical Rescue Incident Management
Preconference Events Friday March 8, 2013:
• Annual Technical Rescue Leadership Forum
Open to team leaders of technical rescue teams
– limited to 2 per team – OFPC approval required
• Technical Rescue Skill Refresher Programs
Costs:
Registration Fee: $25 NYS Resident / $50 Out of State
Lodging at Academy of Fire Science: $40 per day (including meals)
Register Now!
NYS DIVISION OF HOMELAND SECURITY AND EMERGENCY SERVICES • OFFICE OF FIRE PREVENTION AND CONTROL • WWW.DHSES.NY.GOV/OFPC
REGISTRATION FORM
FIRE ACADEMY
and
REGIONAL TECHNICAL RESCUE
New York State Academy of Fire Science
600 College Ave., Montour Falls, NY 14865-9634
(607) 535-7136; Fax: (607) 535-4841
Sponsoring Organization
Personal Information
NAME (Last, first, MI)
FIRE DEPARTMENT ID #
TRAINING IDENTIFICATION NUMBER
SPONSORING ORGANIZATION
HOME ADDRESS (Street, PO Box)
STREET ADDRESS, PO BOX
CITYSTATEZIP
CITYSTATEZIP
FD PHONE#
q
q
CHECK IF NEW ADDRESS
DAYTIME PHONE
MALE
q
FEMALE
COUNTY
FD E-MAIL or FAX
NAME/TITLE - HEAD OF THE SPONSORING AGENCY
EVENING PHONE
SIGNATURE - HEAD OF THE SPONSORING AGENCY
FAX #E-MAIL ADDRESS
_________________________________________ Date _______
q
FIRE ACADEMY
COURSE CODE #
01-­04-­0071
COURSE TITLE
DATES:
Technical Rescue Conference
March 8-10, 2013
Course Registration - payment due with registration form Registration, Material and Accommodations Fees:
Registration Fee is MANDATORY AND NONREFUNDABLE
q NYS Resident - $25
q Out-of State - $50
q Materials Fee (if applicable) payable upon arrival
See course description (may not include required text book)
q Prerequisite Proof (if applicable)
Must accompany registration
Academy Accommodations - payable upon arrival
q Resident – includes Meals & Lodging
q Commuter – includes breakfast & lunch
q Commuter dinner - $9/day (optional)
Registration Fee (include w/registration)
$_________
Materials Fee (if applicable – payable upon arrival) $_________
Accommodations Fee (payable upon arrival)
$_________
Optional commuter dinner(s)
$_________
Total enclosed: $_________
Balance due upon arrival: $_________
Reasonable accommodation request:
________________________________________________
Share room with:__________________________________
Payment Method
q VISA q
Make checks, money orders & vouchers payable to:
Academy of Fire Science
q
q
q
Check
Signed Voucher
q
q
Money Order
Signed Purchase Order
Other (specify)______________________________
MasterCard Total Charge: $______________
Card #
Expiration Date
Signature___________________________________________
Please review the application to make certain it is complete and the required payment and prerequisite proof are enclosed.
This form is on the web at www.dhses.ny.gov/ofpc • MAIL OR FAX APPLICATION TO FIRE ACADEMY ONLY
1220 (10/08)
ACADEMY OF FIRE SCIENCE NAME ANCHOR INN Salt Point Rd, Watkins Glen, NY 14891 BEST WESTERN MARSHALL MANOR Rt. 14 Watkins Rd, Horseheads, NY 14845 BUDGET INN Rt. 14 435 S. Franklin St., Watkins Glen, NY 14891 CANDLEWOOD SUITES 198 Colonial Drive, Horseheads, NY 14845 COUNTRY INN & SUITES Interstate 17/86 Exit 42, Horseheads, NY 14845 COUNTRY INN & SUITES 1100 Danby Rd, Rt. 96B, Ithaca, NY 14850 ECONO LODGE ITHACA/CAYUGA MALL 2303 N. Triphammer Rd, Ithaca, NY 14850 FALLS MOTEL 239 N. Genesee St, Montour Falls, NY 14865 GLEN MOTOR INN overlooking Seneca Lake Rt. 14 N., Watkins Glen, NY 14891 HAMPTON INN Interstate 17/86 Exit 43, Corning, NY HAMPTON INN 337 Elmira Rd, Ithaca, NY 14850 HARBOR HOTEL First St, Watkins Glen, NY 14891 HILTON GARDEN INN (Near Arnot Mall) Interstate 17/86 Exit 51 Arnot Rd, Horseheads, NY 14845 HOLIDAY INN EXPRESS Jct Interstate 17/86 & Rt 14, Horseheads, NY 14845 HOLIDAY INN ELMIRA (indoor pool) Interstate 17/86 Elmira Exit Water St, Elmira, NY 14901 LAKE VALLEY LEGENDS B & B 115 North Glen Ave, Watkins Glen, NY 14891 LANDMARK INN 2671 Corning Rd, Jct 17/86 & 14, Horseheads, NY 14845 LONGHOUSE LODGE MOTEL & MANOR B & B Rt. 14 & Abrams Rd, Watkins Glen, NY 14891 MOTEL “6” Interstate 17/86, Horseheads, NY 14845 RELAX INN Rt. 14 N., Montour Falls, NY 14865 SENECA CLIPPER INN Rt. 14 N, Watkins Glen, NY 14891 SENECA LODGE (closed winters) Old Corning Rd, Watkins Glen, NY 14891 THE CHIEFTON Rt. 14 N, Watkins Glen, NY 14891 THE INN AT GLENORA WINE CELLARS Rt. 14, Dundee, NY 14837 VILLAGER MOTEL Rt. 414, Watkins Glen, NY 14891 Restaurants are available nearby these lodging facilities AREA ACCOMODATIONS PHONE DISTANCE 607-­‐535-­‐4159 5 MILES MEALS NO 607-­‐739-­‐3891 9 MILES YES 607-­‐535-­‐4800 3 MILES NO 607-­‐873-­‐7676 15 MILES YES 607-­‐739-­‐9205 15 MILES NO 607-­‐256-­‐1100 28 MILES NO 607-­‐257-­‐1400 28 MILES NO 607-­‐535-­‐7262 ½ MILE YES 607-­‐535-­‐2706 5 MILES YES 607-­‐936-­‐3344 20 MILES NO 607-­‐277-­‐5500 15 MILES NO 607-­‐535-­‐6116 4 MILES YES 607-­‐795-­‐3500 15 MILES YES 607-­‐739-­‐3681 15 MILES NEAR BY 607-­‐734-­‐4211 22 MILES YES 607-­‐210-­‐4106 or 607-­‐594-­‐4297 4 MILES NEAR BY 607-­‐796-­‐2880 15 MILES NEAR BY 607-­‐535-­‐2565 5 MILES NO 607-­‐739-­‐2525 15 MILES NO 607-­‐535-­‐7183 ¼ MILE NO 607-­‐535-­‐2441 3 MILES NO 607-­‐535-­‐2014 607-­‐535-­‐4759 4 MILES YES 3 MILES NO 607-­‐243-­‐9500 or 800-­‐243-­‐5513 607-­‐535-­‐7159 11 MILES YES 3 MILES NO Revised 08/22/2012 

Similar documents