Breath of Life Class Registration
Safety Certification Classes
Full Name (as you would like it to appear on your card) *
Please use your legal name
Cell phone number
Do you text?
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Mailing Address
Home Email Address *
Work email (used to verify employee discounts available) *
Please select the class that you need
If you are unsure of the type of certification that you need, please check with your employer.
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Please select the month that you need your certification:
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Payments may be made through the, "Cash Card" App on your iphone, or cash at the time of the class.
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