CPR Registration Form
Classes are held on the second Monday of every month at the First Aid Building starting at 7pm.
Student Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Select Course Date
Please Select
November 9th
December 14th
January 11th 2021
February 8th 2021
March 8th 2021
April 12th 2021
May 10th 2021
June 14th 2021
July 12th 2021
Do you live in Shrewsbury
Yes
No
Submit Application
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