CPR Training Form

Equitable Giving Circle:CPR Training Course

Please fill out this form to officially sign up for our CPR Training course. This is a free one day course offered by our CSA Director, Tamar Green. We have limited spots available. If you sign up and do not attend you will not qualify to resign up until one full session has been completed, following the one you missed.
Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Current age*
E-mail*
example@example.com
Phone Number
I am able to attend the entire CPRTraining Course at Alder Commons on June 28th from 1 - 5 pm.*

YesNo
The CPR class requires getting on your knees and standing up. Are you able to do this?*

YesNo
Should be Empty:

Equitable Giving Circle:CPR Training Course