Employer: (select one)
Nursing Hhome/ Assisted Living
I Wish To Enroll In: (select one)
CPR/ AED For Professional Rescuer - $55.00
First Aid/ CPR - $50.00
Blended Course First Aide/ CPR/ AED - $75.00
Course Dates: (select one)
July 7, 2018 0900-1400
July 10, 2018 0900-1400
August 4, 2018 09600-1400
August 7, 2018 0900-1400
By Checking this box I certify the information presented is correct to the best of
my knowledge and I agree to attend the course indicated. NO REFUNDS FOR NO ATTENDANCE.
American Red Cross CPR for Professional Rescuer
To sign-up for one of these courses just download the form, completed the form as
required and FAX the completed for to the number shown.
Be sure to go to Online Payment to pay for your course.