Reaching Everyone Everywhere with Care CPR/CEU Registration Form

Registration Form

Please fill in the form below.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*

Confirmation Emailexample@example.com
Occupation / Field*

StudentHHACNAPediatrics Day CareAdult Day CareCamp CounselorLife GuardVolunteerOther
Company:
Choose a certification?*
How would you like to take the class?*

Hybrid CourseIn-Person
Book an In-Person BLS/CPR Class
Book your CPR Skills Test or CEU Certification Assistance (Turnaround Time 48 hours)
How did you learn from us?

EventInternetOther
Who Referred You?

My Products

BLS Course ONLY$75.00

Group Classes offers $20 off your price!

Heartsaver CPR/AED$85.00

Group Classes offer $20 OFF!

Heartsaver First Aid$60.00

Group Classes offer $20 OFF!

BLS Course ONLY (H)$85.00

Includes E-learning videos to manuever at your leisure. Please schedule the Skills Test when you are ready.

BLS/First Aid$85.00

Group Classes offer $20 OFF!

Heartsaver CPR/AED (H)$95.00

Includes E-learning videos to manuever at your leisure. Please schedule the Skills Test when you are ready.

Heartsaver First Aid (H)$70.00

Includes E-learning videos to manuever at your leisure. Please schedule the Skills Test when you are ready.

BLS/First Aid (H)$95.00

Includes E-learning videos to manuever at your leisure. Please schedule the Skills Test when you are ready.

Assistance with CEU's$150.00

Includes 12-14 CEU's with a turnaround time of 48 hours. Please send a list of CEU's needed.

CPR & CEU Combo Deal$185.00

Includes CPR Renewal and Assistance with CEUs;s which provides 12-14 CEUs with a turnaround time of 72 hours. Please send a list of CEUs needed.

Heartsaver CPR/AED Renewal$55.00

BLS Renewal $65.00

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