Course Registration Form

Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Student’s Address:*

Street Address

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Student’s Email:*
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Student’s Mobile Number:*
Format: (000) 000-0000.
Business / Sponsor Phone #:
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Company Name
Courses Offered
Please List the Course(s), Date(s), day(s), and Time(s) you're Registering for: (ex: BLS, Monday, 2:00pm to 3:30pm; (optional if signing up for CNA course training)*
Comments (Add any information or special accommodations requests)
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BLS Renewal - (Online / eLearning)
Basic Life Support (BLS) for healthcare professionals trains participants to promptly recognize several life-threatening emergencies, give high-quality CPR, deliver appropriate ventilations and provide early use of an AED. Providers first complete the online portion of HeartCode BLS and then complete a hands-on skills session with an AHA BLS Instructor at CPR Partners Training Center location (classroom).

$100.00 Quantity



BLS Renewal - (Classroom session)
The AHA offers options for how you can purchase BLS. You can take a full classroom course, take a blended learning course (HeartCode BLS + a hands-on skills session training), or purchase additional course materials. This BLS course is in-person ONLY training for students wanting to take classroom only BLS training.

$100.00 Quantity



HEARTSAVER (CPR, FIRST AID, AED) - Adult & Infant (Classroom session)
Student may choose in-person or blended learning (online & in-person) training. Offering AHA certificate the same day after course completion.

$130.00 Quantity



HeartSaver (CPR, First AID, AED) - Adult & Infant (Online / eLearning)
Student may choose in-person or blended learning (online & in-person) training. Offering AHA certificate the same day after course completion.

$105.00 Quantity



BLS Renewal - SKILLS ONLY
For BLS students who have already completed the BLS blended learning (online course) and looking for BLS Skills in-person skills sessions. AHA eCard Certificate issued the Same Day upon successful completion of the course.

$65.00 Quantity



HeartSaver (CPR, First AID, AED) SKILLS ONLY
2. Skills sessions only for AHA Heartsaver students who already completed the CPR, First Aid, AED course and looking for skills testing.

$70.00 Quantity



Total

$0.00

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