City of Paris EMS CPR Registration
Fill out the form carefully for registration
Student Name
*
First Name
Middle Name
Last Name
Course Date
*
Please Select
March 29, 2024
April 26, 2024
May 24, 2024
June 28, 2024
July 26, 2024
August 23, 2024
September 27, 2024
October 25, 2024
November 29, 2024
December 20, 2024
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
*
example@example.com
Mobile Number
*
Company
Course
*
Please Select
AHA Heartsaver $90
AHA Healthcare Provider $70
Additional Comments/Do you require any special accommodations?
Submit
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