Online Registration Form

* All fields are required


Audience	IMPORTANT: Include your email to get a confirmation.
First Name*
Last Name*
Address*
City*
State*
Zip*
Mobile Phone*
Email*
Yes No	We may call, text or email to confirm your class or let you know of any changes.

You are registering for:
Class Name	AHA BLS HCP Classroom
Class Date	Sun, 7/29/2012
Location	Berkeley
Price	$80 (cash, check, no credit cards).
Start Time	8:00 am
Duration	3 hour(s)
Prerequisite	None. This is for renewals or first time students.
Certification	American Heart Association Basic Life Support for the Healthcare Provider CPR (BLS or BCLS for the HCP) certification card. Valid 2 years. You will receive your card on day of class.