For Instructor Use Only
Students: Please use "Participant Sign In" located on aphed.com/class-links
Access Code
*
Instructors Only
Today's Date
*
/
Month
/
Day
Year
Date
Course Number
*
Lead Instructor
*
Please start typing. Then, select the Lead Instructor name from the list.
Course
*
Please Select
BLS
Heartsaver First Aid and/or CPR AED
Family & Friends CPR
ACLS
PALS
ASLS
ACLS-EP
PEARS
NRP
Red Cross First Aid CPR AED
Red Cross Babysitter Training
Red Cross Wilderness First Aid
Red Cross Lifeguarding
AHA Instructor Course
Student Name (how it will appear on certification card)
*
First Name
Last Name
eCard Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Student Signed Paper Version of the APHE Course Participant Agreement.
*
I Agree
Submit
Should be Empty: