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Community Basic Life Support Class | November 9th
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1.
First & Last Name
(Required.)
*
2.
Email Address - this will be used to claim your card
(Required.)
*
3.
Phone #
(Required.)
4.
Reason(s) for taking BLS class:
I need it for my job/starting a new job
I need it for school/college
I need to renew my certification
Entering healthcare field
Wanting to learn CPR and lifesaving skills
I want to feel more prepared for an emergency
My employer is paying for my training
I want to be prepared to help family or friends
5.
Have you taken a BLS course before?
Yes
No
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6.
How will you be paying?
(Required.)
Cash or check - $60/person
Call the cashier to pay by phone - credit or debit card
Group discount - must be paid at time of registration
Group discount, specify what group or business
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7.
I understand that the BLS class is $60 per person (unless you have a group discount) and that I will receive my American Heart Association BLS certification card the same day upon successful completion of the course.
(Required.)
Yes
No
