Education Class Registration

Education Class Registration
EMPLOYEES AND VOLUNTEERS DO NOT USE THIS FORM.

Please fill out the information below. You will select your course(s) and pay on the next page.
First Name
Last Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email

Confirmation Emailexample@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Would you like to sign up for multiple students?
Multiple Enrollees Information (click "add row" for more)

All course information including dates and times is hosted on our website www.hcesd8.com or published through our social media. Please check there first before signing up.

If you have any quesitons regarding the course(s) below, please email education@hcesd8.com before purchasing.

** skills verification requests, please email education@hcesd8.com to schedule an appointment.
Which are you singing up for?
Scheduling an in-person Class: Use our website to pick the date to make sure we are signing you up for the right course.

MonthDayYear
Date
Skills Only: For skills verification only, we schedule them on a case-by-case basis. To start, select a date that would work best for you and we will let you know. Feel free to add comments at the bottom to add further availability.

MonthDayYear
Date
Drug test or TB Test: We schedule these on a case-by-case basis. To start, select a date that would work best for you. Feel free to add further availability in the comments below. We will reach out to confirm once we have received your submission.

MonthDayYear
Date
If you plan to pay upon arrival at the class, please go to the bottom of the list and select 'Payment Upon Arrival'. In the notes, fill in the course name and the date you are signing up for.

BLS for Healthcare Provider CPR

AHA In-Person BLS CPR course

$65.00 Quantity

BLS CPR Skills Verification Only

AHA Heartcode BLS Skills Verification Only

$40.00 Quantity

ACLS Provider

AHA In-Person Advanced Cardiac Life Support Course

$150.00 Quantity

ACLS Skills Verification Only

AHA Heartcode ACLS skills verification only

$90.00 Quantity

PALS Provider

AHA In-Person Pediatric Advanced Life Support Course

$150.00 Quantity

PALS Skills Verification Only

AHA Heart Code PALS Skills Verification Only

$90.00 Quantity

GEMS Course

In-Person Geriatric Education for Emergency Medical Services

$200.00 Quantity

AMLS Hybrid Course

Hybrid Advanced Medical Life Support

$200.00 Quantity

PHTLS Hybrid Course

Hyrbid Pre-Hospital Trauma Life Support

$200.00 Quantity

TB Test

Skin test w/ reading

$30.00 Quantity

Student Drug Test

10-pannel urinalysis

$60.00 Quantity

Pay Upon Arrival

If you plan to pay using cash or check, add this to your card to sign up. Put in the notes what class you are signing up for.

Free Quantity

Enter coupon

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