BLS/CPR & First Aid Class Registration

BLS/CPR & First Aid Class Registration

Certified through American Heart Association!
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you work for the school system?*

YesNo
Are you a K-12 student?*

YesNo
If you selected yes to either question, please provide the name of the school.
Is this your first time taking CPR certification?

YesNo (Renewal)
Which CPR course are you registering for?

CPR & First AidCPR & First Aid (Renewal)BLS for healthcare workersBLS (Renewal)K-12Other
12/3/25 @ 10am Class
12/4/25 @ 10am Class
12/14/25 @ 10am CYBER MONDAY SALE
12/14/25 @ 2pm CYBER MONDAY SALE
Preferred Date/Time
**When instructor reaches out, we can discuss other dates and time**
Do you have any medical conditions of physical limitations that we should be aware of during training? (Example: difficulty kneeling, pregnancy, recent surgery, etc)

YesNo
If you are registering for a group session, below include each name and email for every participant to be registered.
We offer private, group, workplace, teen classes, & more!

After registration form is submitted, we will reach out to you within 24hours to send payment link via text or email!

PAYMENT WILL BE DUE 3 DAYS BEFORE CLASS.

*Please note you will not secure a seat until payment is made*

ALL PAYMENTS ARE NON-REFUNDABLE!!!

You may contact us to inquire about any additional dates that are not be listed!

Questions? Contact us!

tel: (336) 743-7750

email: bree@minorhandscare.com
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