EVAC CPR Program eReceipt
Business Contact Information:
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Eastchester Volunteer Ambulance Corps, Inc. CPR Program. 257 Main Street, Eastchester, NY 10709. TEL: 914-337-3007 EXT 207 EMAIL: CPR@eastchesterems.com
CPR Client Name
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First Name
Last Name
CPR Client E-mail
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example@example.com
Class date and time
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Month
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Day
Year
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Hour Minutes
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PM
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Class Type
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HeartCode Skills Session
Basic Life Support (BLS)
Heartsaver CPR/AED/First Aid
Heartsaver CPR/AED
Heartsaver First Aid
Heartsaver Pediatric CPR/AED/First Aid
Advanced Cardiovascular Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Pediatric Advanced Emergency Assessment, Recognition, and Stabilization (PEARS)
Instructor Course (BLS/ACLS/PALS/PEARS)
Class Instructor
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Alessandro Cocking 023071206316
Alex Nechis 03112319623
Chrissy Demo 08160493316
Connor McMullen 08160493315
Danielle Casey 04210942333
James Comiskey 24036620342
Emily Stanson 023079246305
Emily Sullivan 09221102359
Frank Bellantoni 08160494306
Gary Reben 05080839121
Georgina Torres 23119478720
Gus Torres 010150372378
Jaime Gomez 023070477704
Jude Valerioti 11150377600
Kaitlin McLoone 1160403082
Kenneth Capellan 09221102353
Kyle Shryock 023077357604
Louis Gentile 09221102355
Mark Tamarin 11140286089
Michael Baumblatt 06210958170
Michael Guarino 06200876072
Michael Mazzilli 023074988986
Nicholas Cruz 09221102354
Nick Louros 01160403298
Nick Malizia 03150312623
Patrick Bryson 08170597973
Richard Pena 09221102356
Robert Raynes 09221102357
Ryan Kahn 07170595695
Sage Richman 09221102358
Samjo Samson 23110031063
Sam Shedden 023070949636
Scott Mikos 01160396385
Victoria Mancini 023076509868
Amount Paid $
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Method of Payment
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Authorizing Signature
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