CPR Information
By completing this form you are acknowledging and willingly sharing your name and address with the Rocky Hill Volunteer Ambulance Association (RHVAA), the CT Department of Public Health (DPH) and the American Heart Association (AHA). The information you are providing is used to determine if Rocky Hill holds the minimum percentage of citizens who are holders of an AHA CPR card. Your information will not be shared with anyone other than the DPH and AHA who will verify you hold a valid CPR card.
Last Name *
Smith
Your answer
First Name *
John
Your answer
Street Address *
3050 Main Street
Your answer
Town Zip code *
06067
Your answer
Phone Number
860-999-9999
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