Breath of Life Class Registration
* Required
Full Name (as you would like it to appear on your card)
*
Please use your legal name
Your answer
Cell phone number
Your answer
Do you text?
Yes-please feel free to text me
No-please do not send me text messages
Mailing Address
Your answer
Home Email Address
*
Your answer
Work email (used to verify employee discounts available)
*
Your answer
If you are using a credit card (MC or Visa), please request a link to pre-pay
*
A processing fee of .85 will be added to your invoice. You can pay up to 30 minutes prior to class, just make sure that you bring your receipt to class.
Yes, please send me the link
No, thank you, I will be paying in cash at the time of the class. Sorry, as of 10/25/2015, checks cannot be an accepted form of payment.
Please select the class that you need
If you are uncertain, please check with your employer.
CPR/First Aid/AED $35.00
CPR PRO (for medical professionals) $35.00
CABS (child and babysitter's safety class) $60.00
My employer has a discounted price (please present your ID badge for discounted price)
I am an employer and would like to be invoiced
Please choose from one of the upcoming community classes:
Community is for non medical and Pro/BLS is for medical professionals. If you are uncertain, please check with your employer.
Tuesday, May 29, 2018
Other:
If you have already received a confirmation of an upcoming class, please indicate the date and time :
Your answer
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