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, Sept 28th, 2018 @ 4pm
Friday, Oct 5th, 2018 @ 4pm
Friday, Oct 12th, 2018 @ 4pm
Friday, Oct 19th, 2018 @ 4pm
Friday, Oct 26th, 2018 @ 4pm
ACLS & PALS
Thursday, Sept 27th, 2018 @ 4pm
Thursday, Oct 18th, 2018 @ 4pm
Wednesday, Oct 25th, 2018 @ 4pm
Management of Assultive Behavior
Tuesdays & Thursdays @ 3pm, Renewal Only
Friday, Sept 28th, 2018 @ 5pm
Friday, Oct 5th, 2018 @ 5pm
Friday, Oct 12th, 2018 @ 5pm
Friday, Oct 19th, 2018 @ 5pm
Friday, Oct 26th, 2018 @ 5pm
Professional CPR (BLS,HCP) & Basic CPR
Thursday, Sept 27th, 2018 @ 2pm
Friday, Sept 28th, 2018 @ 11am or 2pm
Tuesday, Oct 2nd, 2018 @ 11am or 3pm
Thursday, Oct 4th, 2018 @ 2pm
Friday, Oct 5th, 2018 @ 11am or 2pm
Tuesday, Oct 9th, 2018 @ 11am or 3pm
Thursday, Oct 11th, 2018 @ 2pm
Friday, Oct 12th, 2018 @ 11am or 2pm
Tuesday, Oct 16th, 2018 @ 11am or 3pm
Thursday, Oct 18th, 2018 @ 2pm
Friday, Oct 19th, 2018 @ 11am or 2pm
Tuesday, Oct 23rd, 2018 @ 11am or 3pm
Thursday, Oct 25th, 2018 @ 2pm
Friday, Oct 26th, 2018 @ 11am or 2pm
Tuesday, Oct 30th, 2018 @ 11am or 3pm
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