Skip to content
Hands Only CPR - Registration Form
Welcome and thank you for your interest! All activities are FREE through the Pomona Wellness Community.
*Required
*
1.
Please select the dates you would like to attend:
(Required.)
Thursday, April 18, 2024 (3:30-4:30pm)
*
2.
Contact information
(Required.)
Name
Email
Phone
3.
Is it ok to text you any updates or reminders about the class?
Yes
No
4.
What is your age?
5.
What is your race/ethnicity?
(Check all that apply)
Asian
Black or African American
Hispanic, Latino or Spanish
White
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Prefer not to say
Other (please specify)
