A Positive Education | 2670 S. Myrtle Ave. #204 Monrovia CA 91016
Class Registration Page. Please click submit only once. Thank you.
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Email *
First Name: *
Last Name: *
Please verify email address again (this will be submitted to the AHA and used to process your eCard): *
Phone Number (555-555-5555): *
What class(es) do you need? *
example: ACLS, BLS, or PALS
Required
Please select a date that corresponds to our class schedule. *
All classes begin at 8 AM. Please visit our website for our class schedule.
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Address: we will only use your address to send you reminders about class renewal every two years.
Do you need to purchase or rent a new 2020 Provider Manual? It is required per the AHA Guidelines to have a current Provider Manual. The 2015 Edition will not be accepted anymore. *
Required
I acknowledge that I will bring my own AHA 2020 Provider Manual(s) with me to class. If I do not have one, I will obtain one during class. I acknowledge that I cannot attend the course(s) if I refuse to obtain one as it is required for attendance. *
Are you renewing or certifying your classes? Renewing means your card is not expired. *
Fees are paid during class with Cash/Check/Venmo
Hospital/Facility and/or Department (optional)
Profession (example: RN, LVN, RT, PA, MD, PharmD, student, other) [optional]
Have you taken a class with us before? *
If you're new, how did you hear about us? If referred, you can mention them and we'll be sure to thank them! :)
Additional comments/considerations?
A copy of your responses will be emailed to the address you provided.
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