CPR/AED Class Registration Form
Event Timing: 2021 Class dates: First Thursday of each month dependent on instructor availability.
Event Address: Fortuna Volunteer Fire Department, 320 S. Fortuna Blvd., Fortuna, CA 95540
Contact us at (707) 725-5021 or cglass@fortunafire.com
Email *
Name *
Age
Contact number. *
Organization (if applicable)
What class are you registering for? (classes are held on the 1st Thursday of each month. Thursdays that fall on a holiday may be subject to change and it is advised to call for confirmation.) *
MM
/
DD
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YYYY
Previous CPR/AED training? (not required to attend) *
Required
How would you like to pay? (an invoice will be sent to the email provided but payment may be made on the day of class) *
Required
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