AR/CPR & FIRST AID - CPR, First Aid, Fire Safety
Class Registration
AR/CPR CLASS REGISTRATION FORM
FIRST NAME
LAST NAME
EMAIL
COMPANY NAME
ADDRESS 1
CITY
STATE
ZIP
Home Phone
Work Phone
Cell Phone
GENDER
MALE
FEMALE
Card Experation Date
CLASSES & PRICING
Basic CPR & First Aid - New Certification-$75
Basic CPR & First Aid - Renewal-$65
Professional CPR (BLS,HCP) - New Certification-$65
Professional CPR (BLS,HCP) - Renewal-$50
ACLS - New Certification - $245
ACLS - Renewal - $150
PALS - New Certification - $255
PALS - Renewal - $150
Hospital Fire & Safety - 4yr Certification - $60
MAB - New Certification - $40
MAB - Renewal - $40
Hospital Fire & Safety
Friday,November 3rd, 2017 @ 4pm
Friday, November 10th, 2017 @ 4pm
Friday, November 17th, 2017 @ 4pm
Friday, December 1st, 2017 @ 5pm
ACLS & PALS
Thursday, November 16th, 2017 @ 4pm
Thursday, November 30th, 2017 @ 4pm
Management of Assultive Behavior
Tuesdays & Thursdays @ 3pm, Renewal Only
Friday, November 3rd, 2017 @ 5pm
Friday, November 10th, 2017 @ 5pm
Friday, November 17th, 2017 @ 5pm
Friday, December 1st, 2017 @ 5pm
Professional CPR (BLS,HCP) & Basic CPR
Friday, November 3rd, 2017 @ 11am or 2pm
Tuesday, November 7th, 2017 @12pm or 3pm
Friday, November 10th, 2017 @ 11am or 2pm
Tuesday, November 14th, 2017 @ 11pm or 3pm
Thursday, November 16th, 2017 @ 2pm
Friday, November 17th, 2017 @ 2pm
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