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-$70
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
Tuesdays & Thursdays @ 3pm, Renewal only
Friday, Oct 4th, 2019 @ 4pm
Friday, Oct 11th, 2019 @ 4pm
Friday, Oct 18th, 2019 @ 4pm
Friday, Oct 25th, 2019 @ 4pm
Friday, Nov 1st, 2019 @ 4pm
ACLS & PALS
Thursday, Oct 17th, 2019 @ 4pm
Thursday, Oct 24th, 2019 @ 4pm
Thursday, Oct 31st, 2019 @ 4pm
Management of Assultive Behavior
Tuesdays & Thursdays @ 3pm, Renewal Only
Friday, Oct 4th, 2019 @ 5pm
Friday, Oct 11th, 2019 @ 5pm
Friday, Oct 18th, 2019 @ 5pm
Friday, Oct 25th, 2019 @ 5pm
Friday, Nov 1st, 2019 @ 5pm
Professional CPR (BLS,HCP) & Basic CPR
Thursday, Oct 3rd, 2019 @ 2pm
Friday, Oct 4th, 2019 @ 11am or 2pm
Tuesday, Oct 8th, 2019 @ 11am or 3pm
Thursday, Oct 10th, 2019 @ 2pm
Friday, Oct 11th, 2019 @ 11am or 2pm
Tuesday, Oct 15th, 2019 @ 3pm
Friday, Oct 18th, 2019 @ 11am or 2pm
Tuesday, Oct 22nd, 2019 @ 11am or 3pm
Thursday, Oct 24th, 2019 @ 2pm
Friday, Oct 25th, 2019 @ 11am or 2pm
Tuesday, Oct 29th, 2019 @ 11am or 3pm
Thursday, Oct 31st, 2019 @ 2pm
Friday, Nov 1st, 2019 @ 11am or 2pm
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