CPR First Aid Course Registration Form

CPR/First Aid Course Registration Form

Fill out the form carefully for registration
After submission of form, our instructor will contact you with course information within 5 business days.

CPR and First Aid training at Bremo Pharmacy’s Training Center provides individuals with vital life-saving skills. Our courses, guided by a certified instructor and registered nurse, cover essential techniques to respond confidently and effectively in emergencies.

Online Course: After completing payment, our instructor will contact you with course information within 5 business days.

This is an online course with in-person skills check. Course material will be provided online for you to complete on your schedule. You will schedule your in person skills check with our instructor following completion of the online material.
Student Name

First NameMiddle NameLast Name
Address of Student

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Phone Number
Work Number

Refund Policy:

We understand that circumstances may change, and sometimes you may need to cancel your enrollment in our class:

If you request a refund at least 7 days before the start date of the class, you will receive a full refund minus a $50 administrative fee.
Refund requests made within 7 days of the class start date are not eligible for a refund.
To request a refund, please contact Bremo Pharmacies Business Office at (804) 285-8055 with your name, the class name, and the reason for your refund request.

Thank you for your understanding, and we hope to have the opportunity to serve you in the future.
I agree to the Refund Policy

I Agree

Course Options

Basic Life Support (Online)This course is for those who have a healthcare background or are required to have completed BLS for their job. We train participants to recognize and provide care (including chest compressions, ventilations, and use of an AED) during severe life threatening emergencies. The course reflects the current guidelines from the American Heart Association. Upon successful completion of the course and skills check students will receive their AHA BLS Provider Card valid for two years. Blended course offerings are available. Course material will be provided online for you to complete on your schedule. You will schedule your in person skills check with our instructor following completion of the online material.

$75.00 Quantity

Heartsaver (First Aid, CPR, AED) (Online)This course is for anyone with little or no medical training who needs a course completion card for their job, regulatory (e.g., OSHA), or other requirements, or anyone who wants to be prepared for an emergency in any setting. We train participants to recognize and provide care (including chest compressions, ventilations, and use of an AED) during severe life threatening emergencies as basic first aid in a multitude of settings. The course reflects the current guidelines from the American Heart Association. Upon successful completion of the course and skills check students will receive their AHA Heartsaver Provider Card valid for two years. You will schedule your in person skills check with our instructor following completion of the online material.

$90.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Email for Receipt
example@example.com
Additional Comments
Contact information if not student registering.
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CPR/First Aid Course Registration Form