CPR Sign-Ups

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CPR Sign-Ups

Please use this form to sign up for a CPR class.

All of our current classes are taught in a blended format - the online portion must be completed prior to attending class for the hands-on portion.

Email *

Enter your name as you would like it to appear on your CPR card:

Date of Birth:

YYYY

Enter the e-mail address you wish to use to access your online CPR course with:

Choose your class: *

Adult ONLY CPR/AED/First Aid

Adult & Pediatric CPR/AED/First Aid

Basic Life Support (Healthcare Providers)

Other:

What kind of class do you need? *

New (select this option if you have never taken a CPR class or if your current certification has lapsed)

Refresher (must submit a copy of current CPR/AED/First Aid card)

If you need a refresher class, you must submit a copy of your current CPR card. Please upload here:

Add file

What is your primary need for this class? *

I am required to have maintain certification because I am a nurse/ATC.

I am required to maintain certification because I am an athletic coach.

I have to maintain certification because I am a lifeguard.

I want to become certified/recertified because I am a teacher/staff member.

I want to become certified/recertified because I am a student.

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