AHA CPR Certification Enrollment

AHA CPR Certification Enrollment
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which skills class will you be attending?
Important Course Information

Please read carefully before submitting your registration
Please read carefully before submitting your registration.

This is a blended learning course consisting of a self-paced online course and a required in-person skills session.

After your registration and payment have been received, please allow up to 24 hours for course access instructions to be sent to the email address you provided.

You must complete the online course before attending your scheduled in-person skills session. Email your online completion certificate to info@lotushealthcareacademy. com before your class date.

Attend Lotus Healthcare Academy on the class date and time selected during registration to complete your hands-on skills practice and evaluation. You do not need to schedule a separate appointment.

Please register early enough to receive access and complete the online coursework before your selected skills session.
Student Agreement
- I understand this is a blended learning course consisting of a self-paced online portion and a required in-person skills session.
- I understand that after my registration and payment have been received, it may take up to 24 hours for my blended learning course access instructions to be sent to my email.
- I understand I must successfully complete the online coursework before I am eligible to complete the in-person skills session.
- I understand that I am responsible for emailing my online completion certificate to info@lotushealthcareacademy. com after finishing the online course.
- I understand that my American Heart Association BLS Provider certification will be issued only after I successfully complete both the online coursework and the in-person skills evaluation.
- I certify that the information provided on this enrollment form is true and accurate.
Signature
AHA CPR Certification Course
prevnext( X )
CPR
$100.00 Quantity

Total

$0.00
Should be Empty:

AHA CPR Certification Enrollment

Important Course Information

Student Agreement

AHA CPR Certification Course*

AHA CPR Certification Course