Riverdale Hatzalah Volunteer Ambulance: Community CPR Training
CLASS DATE: Sunday morning, October 22, 2017 @ 10:00am.
LOCATION: Riverdale Jewish Center
Riverdale Hatzalah Volunteer Ambulance Service is offering a free American Heart Association CPR course for members of the community (no prior medical knowledge required). This course will cover adult and pediatric CPR skills, choking relief and use of a defibrillator.

The course runs about 3 hours and involves some physical activity, so please wear comfortable clothing.

***Registration is required and space is limited. To register, please fill out the form below.

Please consider supporting Riverdale Hatzalah in our important mission of saving lives in the community. There is a suggested donation of $25 per student. All of our instructors are unpaid volunteers. Your generous support allows us to continue offering free classes to the community - empowering everyday people to protect their families and friends!

Please contact Charlie Wohlberg at charlie.wohlberg@gmail.com for more information.
Additional sponsorship opportunities are available!

Registration information
Please enter your name EXACTLY as you would like it to appear on your CPR Card.


First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
Apartment (if applicable)
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address *
NOTE: All course details will be sent to this address. In the event of a cancellation, you will be notified by email.
Your answer
Other information
Have you learned CPR before? *
Are you taking this course because you have, or are expecting, a baby? *
How did you hear about this course? *
Assertion of Health and Release of Liability *
In clicking "YES, I AGREE" below, I agree to register for the Riverdale Hatzalah CPR training program. I assert that I am registering on behalf of myself and not another party and that I am qualified to agree to the release specified in this paragraph. I understand that this program involves RIGOROUS physical activity and assert that I am physically and psychologically prepared to take this rigorous course which focuses on physically and mentally challenging materials and situations. In the event I suffer injury, illness, emotional distress, death or damage to personal property during, or as a result of, this course, I agree to release and hold harmless Riverdale Hatzalah, Chevra Hatzalah, and its instructors, volunteers and agents from any and all liability. I further acknowledge that Riverdale Hatzalah may cancel or alter this course at any time and without notice. If registering a minor, I assert that I am the legal guardian of said minor/registrant and agree that all afore-mentioned provisions apply to myself and the minor as a condition for enrolling in this course.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service