ACLS Course Registration
Must click "Submit" at the end of the form to complete registration.
Cell Phone (Home or Work Phone if no Cell Number)
Unit / Dept.
Pick one of the 2 Below
ACLS Provider Classes Course Date
First time or if you’ve “expired” Registration is 1/2 hour before the class begins.
Mar 6 (Fri) 7:30am-6:30pm @ Zeeland Hospital, Zeeland
ACLS Renewal Course
Have current ACLS card Registration is 1/2 hour before the class begins.
Jan 17 (Fri) 7:30am-2pm @ Zeeland Hospital, Zeeland
Mar 6 (Fri) 7:30am-2pm @ Zeeland Hospital, Zeeland
Method of Payment:
Thank you for you signing up, Please use the PayPal link below to make your payment online.
Check or money order made payable to HEA
Online Credit / Debit / Paypal
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