CPR Class Schedule and Registration

CPR Class Schedule and Registration

CPR classes are held quarterly at our Desloge store conference room starting at 9am (1131 N Desloge Drive, Desloge, MO 63601, basement entrance). PLEASE NOTE: These classes do have limited space. If a class is full at the time of your registration, your payment will be refunded, and you will need to sign up for the next class session.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Birthdate

MonthDayYear
Date
Name of facility employed with:*
Name of supervisor or facility administrator:*

First NameLast Name
Add attendee(s) (multiple attendees must be employed by same facility)*
Please select the date of the class you are registering for:*
Select your appropriate class category:
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CPR class
$50.00 Quantity

Total

$0.00
Please Note: Payment by check must be presented to your instructor for all attendees when you arrive for your class. (Make checks payable to: Parkland Pharmacy.)
Special Notes/Comments/Concerns:
Should be Empty: