Percussionaire Corporation, Advanced Cardiopulmonary Dynamics
Advanced Cardiopulmonary Dynamics
Dr. Forrest M. Bird President Bush Award President Obama Award
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A Percussionaire Seminar

If you have any questions, please contact
Valarie Zimmerman
208.263.2549 Ext. 161
ipv@charter.net

Boat Tour on Lake Pend Oreille
We will be conducting a two hour tour of our facilities. We will tour the airplane hangers and automobile storage facilities where Dr. Bird has his vast collection of different planes and vehicles. Also, weather permitting, there will be a two hour cruise around beautiful Lake Pend Oreille the evening before your return.

If you are attending, Click here for instructions regarding:

Percussionaire® Corporation Seminars

Please fill out the first portion of the registration form. We will contact you for flight information when we are certain we can accommodate your scheduled request. Thank you.)

Seminar Dates from to
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Medical Consent: In the event of injury or other medical emergency, I hereby authorize Percussionaire Corporation to arrange for such medical services as may be deemed reasonable and necessary to my welfare, and I do hereby release Percussionaire Corporation from all liability in taking such action. I acknowledge that Percussionaire Corporation does not provide medical insurance for program participants and that any expense incurred is wholly the responsibility of the participant.

Liability Release: I do hereby agree to release and hold harmless Percussionaire Corporation from liability for damages, except for personal injury or property damages caused by the gross negligence of Percussionaire Corporation. I authorize Percussionaire Corporation to utilize any photographs including myself taken during the formal training activities for Percussionaire Corporation purposes.
By submitting this registration form I indicate that I have read this Medical Consent and Liability Release and execute it voluntarily and with full knowledge of its significance.
   
ARRIVAL INFORMATION:
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  Airport Pickup Needed
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If airport pickup is needed, please provide the following information
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*If you are providing your own transportation, we will be happy to furnish, upon request, a map and directions from Spokane, Washington or Sandpoint, Idaho. Please let us know time of arrival at Bird Airlodge.
 
DEPARTURE INFORMATION:
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PERCUSSIONAIRE® CORPORATION

P.O. Box 817 Sandpoint, Idaho 83864 U.S.A.
Phone (208) 263-2549;  Fax (208) 263-0577