CPR / FIRST AID SKILLS CLASS Registration Form

CPR / FIRST AID SKILLS CLASS Registration Form

September 26th, 2026 9:30am - 11:00am Holy Redeemer Campus
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
How did you hear about this class? (Playgroup, Volunteer, Friend, etc)
Will someone else also be attending with you for this class?

Please write down who will be attending with you.

Rows	Full Name	Their relation to you? (spouse, friend, etc)
1
2

If child-care is a challenge for your attendance, please let us know so we can discuss how we can best support you.
There will be some light movement and bending during class, please be sure to wear something comfortable. Also, we ask all registrants to please attend. We are purchasing materials to provide free to you, and an exact head count is appreciated.

We look forward to see you!
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