Schedule a CPR Class
Due to the rise in current COVID-19 cases, we have once again temporarily suspended the CPR certification classes. Please check our website for any updates. (8/11/20)

All certifications are provided through ASHI (American Safety and Health Institute). Once submitted, please allow up to 72 hours for a phone call to confirm.
Name (first and last) *
Day Time Phone Number *
Must be in ###-###-#### format
Preferred Start Time (All dates/times subject to instructor availability)
MM
/
DD
/
YYYY
Time
:
Level of Certification *
Required
Type of Certification *
Required
Number of Students *
Preferred Location *
Additional Comments:
Submit
Never submit passwords through Google Forms.
This form was created inside of Independence Fire District. Report Abuse