Skamania County EMS CPR/First Aid Course Registration Request
Thank you for your interest in a CPR, First Aid or other Public Education courses. Please complete the following form and our Public Education Coordinator will confirm your class date(s).
Name *
Your answer
Email *
Your answer
Address *
Your answer
Phone number
Your answer
Please indicate the First Aid/CPR class date you would like to attend: *
Are you a business customer? *
Required
How many participants would you like to sign up? *
Your answer
Participant Name (# 1) *
Your answer
Participant Name (# 2)
Your answer
Participant Name (# 3)
Your answer
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