CPS Update Class

Child Passenger Safety Update Class
October 23, 2002

The NYS Governor's Traffic Safety Committee, Monroe County Office of Child Passenger Safety, and the New York State Police will conduct the NHTSA Child Passenger Safety Update/Refresher Class October 23, 2002 from 9:00 AM to 4:00 PM. The class will be conducted at:

CityPlace
50 W. Main St. (2nd Floor Balcony)
Rochester, NY 14614

Please complete the registration form and return no later than September 30, 2002.

Name:
Organization:
Address:
City, State, Zip:

Technician #:

Certification Date:

Fax #:
Phone #:

List additional names for people from your organization that will attend.

Name(s):	Tech #	Certification Date	Recert. Test Required

Fax Application:	(585) 428-9023
Mail Application To:	Child Passenger Safety CityPlace 33 N. Fitzhugh Street, Suite 2100 Rochester, NY 14614
Questions:	Laureen Barnes or Ken Beck (585) 428-4902 or (585) 428-4903

Lunch will be provided. Hands on testing for annual re-certification will be available. Please, indicate if you require hands on testing after the class.