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CPR Class Registration

Instructions:
Please fill out the form with your contact information. Your contact information is going to be where you want your course completion card sent to.
First Name*
Last Name*
Address*
Address
City*
State*
Zip Code*
Phone Number*
Email Address*
Class Selection
In this section, please select the top three classes that you would like to attend in the dropdown menus below. Every effort will be made to accommodate your first choice but please know, class size is limited for each class. An email confirmation will be sent when you are registered for classes.
Class Choice #1
Class Choice #2
Class Choice #3

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