CPR Certification Workshop
TUESDAY, NOVEMBER 18 6-8PM LIBERTY PARK COMMUNITY BUILDING Registration is required ~ Cost is $20/$35 ~ Limited to 20 participants ~ Must be 13 years or older to participate
Full Name
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First Name
Last Name
Address
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Street Address
LPHOA Account Number
City
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Postal / Zip Code
E-mail
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example@example.com
Phone Number
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By checking off this field I agree to bring $20 (connected to community well) or $35 (not connected to community well) payment the day of the event. Payment may be made in cash or check (payable to LPHOA). I understand that I will not be able to participate in the workshop without payment.
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