REGISTRATION

This is the registration form for the free CPR training offered at the following location:
 
VANKLEEK HILL: DATE: June 2, 2018 from 12:30 p.m. to 4:30 p.m. LOCATION: Vankleek Hill Arena, 36 Mill Street

Surname

Question Title

* 1. Surname

Given name

Question Title

* 2. Given name

Telephone or cellular number

Question Title

* 3. Telephone or cellular number

Do you want to register other people with you? If yes, please insert their names below:

Question Title

* 4. Do you want to register other people with you? If yes, please insert their names below:

Thank you for your interest!
Please note that when clicking "Done" below, you will not receive a confirmation.You will be automatically registered.

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