Language
English (US)
Spanish (Latin America)
Adult & Pediatric CPR, AED & First Aid Training Sign-Up
Please complete the form below to register for the CPR Training on Saturday, November 14th, 2026, at El Camino College from 9:00 AM – 5:00 PM.
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Address (If different than home address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which of the following best describes you?
*
Please Select
I am a family child care provider
I am a license-exempt provider (Family, Friend, or Neighbor)
I am a center-based provider
I am an Early Childhood Education student
Select your preferred CPR training language
*
English
Spanish
➡️ Complete Payment Here
I have submitted my $65 payment using the link above and understand I will be reimbursed after I complete my CPR training.
*
Yes
Sign Up
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