CPR Class Registration for Saturday November 21, 2020 9:30 AM - 2:00 PM
Classes are limited: please only sign up if you are in need of a CPR certification.
First Name *
Please type your full first name. This will be used on the certification card.
Last Name *
Please type your full last name. This will be used on the certification card.
E-mail Address *
Please enter a husky or personal e-mail address. This e-mail will be used to contact you about the CPR class and receiving CPR cards after the class.
Phone Number *
Please provide a phone number that may be used to contact you.
Major *
What is your major?
What year are you? *
Have you ever taken a CPR class before? *
Address
Street Address *
Ex: 123 Sesame Street, Apt. 1
City, State & Zip Code *
Ex. Boston, MA 02115
What is your reason for taking this CPR class? *
Please choose one that best fits you
Submit
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This form was created inside of Northeastern University.