CPR Registration Form
Register below to save your seat in our CPR & First Aid class. (AMERICAN HEART ASSOCIATION) BLS (Basic Life Support):For healthcare professionals such as CNAs, nurses, medical assistants, EMTs, and students in healthcare programs.Heartsaver CPR/AED:For non-healthcare workers, including childcare providers, teachers, coaches, security, and the general public.If you are unsure which course to select, please contact us before completing the AHA online course at info@williamsinstitutetx.org.
CPR Registration – Williams Institute of TexasThis CPR course follows AHA guidelines and includes online training and in-person skills.Total fee: $85• $37 paid to AHA• $45 paid at skills sessionAfter submitting this form, you will be redirected to the AHA website to complete the online course. If not redirected, call/text or email info@williamsinstitutetx.org for assistance. Email your certificate to receive the skills link. CPR card emailed after completion.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Business contact name
First Name
Last Name
Business/Organization
Business contact email
example@example.com
Class Selection
Which class are you registering for ?
*
BLS class (group)
Heartsaver class (group)
BLS class
Heartsaver class
CPR classes are offered weekdays from 6:00 PM–8:00 PM and weekends from 8:00 AM–1:00 PM. Which day and time works best for you? If you do not see a suitable time, please let us know. Classes scheduled outside these hours are $100 per class.
Renewal or new card
*
Questions you have/ and or cpr class info.
Submit
Should be Empty: