CPR Class Registration Form
Register for an upcoming CPR class.
Full Name
*
First Name
Last Name
Email Address
*
If completing form for second person please do not repeat email addresses. (1 Email address per person)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please select the class you would like to attend
Please Select
07/23/2026 6PM-9PM
Do you require a CPR Card (Please Note their is a $19 per card price the department pays for you to receive one, if not needed please select no so that we can offer more classes in the future)
Yes
No
Special Accommodations (please specify any accessibility needs or other requests)
Register for CPR Class
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