2024 PALS CLASS

The American Heart Association (AHA) strongly promotes knowledge and proficiency in BLS, ACLs, and PALS courses and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent sponsorship by the AHA. Any fees charged for such a course, except for a portion of the fees needed for AHA course materials, does not represent income to the Association.

Employee ID*

Example: CHS12345

Today's date:

Date

Name

First NameLast Name

Work Email address only*

(Example: jane.doe@childrensal.org

Work Phone

Please enter a valid phone number.

Title/Position*

Educator or Director

Location/Unit*

NEW HIRE:

If you are a new hire, you will be assigned in the month that you select. Please check with your educator before completing this request form.

Month of Expiration*

enter none if New Hire

Class Dates (Select One):*

This is for a class date that will be held on Fridays. Time 7:30a-12:30pm. (ONLY!) A printed Certificate of Completion is required.

NOTE: Children's allows renewal every two years. If you open assignment that is a license used.

If you have questions contact us at: nursing.education@childrensal.org or call (205)638-9127.

UAB or other non-Children's affiliates are required to pay a fee of $195.00. Check should be made payable to Nursing Education and must be received before access to online modules is given.

I have read and understand the instructions in this form.

2025 PALS CLASS