SkillsUSA University Heartsaver, June 24th 1 p.m.-4 p.m
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1
. What is your first and last name?
What is your first and last name?
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2
. What is your mailing address?
What is your mailing address?
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3
. What is your email?
What is your email?
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4
. What is your registration status during NLSC 2012?
What is your registration status during NLSC 2012?
Student, competitor
Student, non-competitor
Advisor/Instructor
State Leader
Alumni
Other/Not Listed Above
5
. What is your phone number?
What is your phone number?
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6
. During attendance, you will have the opportunity to obtain a certification card from the American Heart Association for a fee. Which type of training are you seeking?
During attendance, you will have the opportunity to obtain a certification card from the American Heart Association for a fee. Which type of training are you seeking?
Certification with $20 Fee
No Certification for Free
7
. Do you have any comments, questions or require more information prior to registering? If so, please leave a message and the SkillsUSA Alumni and Friends Association will contact your shortly.
Do you have any comments, questions or require more information prior to registering? If so, please leave a message and the SkillsUSA Alumni and Friends Association will contact your shortly.
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