TCNJ EMS CPR/First Aid Class Registration Form FALL 2017
Please fill out this short form with your current information. The cost of a CPR class is $75 and the cost of a First Aid class is $60. If you have ANY questions or if any of your information changes, please email
with the change so we can update our files.
Name (First and Last)
Email Address (This is how we will comunicate with you about class details)
Home Address (Where your course completion card will be sent)
Phone Number (Please include area code)
Class(es) you would like to register for: (Note: Please select ONE first aid class and/or ONE CPR class)
BLS (CPR/AED) for Healthcare Providers Saturday, September 9 10am-2pm
Heartsaver First Aid Sunday, September 10 10am-1:30pm
BLS (CPR/AED) for Healthcare Providers Sunday, September 24 10am-2pm
BLS (CPR/AED) for Healthcare Providers Saturday, October 14 10am-2pm
Heartsaver First Aid Sunday, October 22 10am-1:30pm
BLS (CPR/AED) for Healthcare Providers, Saturday November 4 10am-2pm
Heartsaver First Aid, Sunday November 19 10am-1:30pm
BLS (CPR/AED) for Healthcare Providers, Saturday December 2 10am-2pm
Heartsaver First Aid, Sunday December 3 10am-1:30pm
Any questions or concerns?
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