Helping you to be prepared!                                                    

CPR TRAINING CENTER                                                                                  

Registration Form

                                      REGISTRATION FORM FOR:
     American Heart Association BLS for the Healthcare Provider Course

Prepay with a check and save $5. New classes are $35 and if you have a current AHA BLS for the HCP card the price is $30.
Dates with times are scheduled classes at our location. Please call or email to confirm the class you would like to go to is still scheduled before sending your registration. After confirming the class, send this form and a check made out to CPR Training Center to:  14529 Hardaway Drive, La Mirada, Ca. 90638. 
Available dates for March 2010:

02/28 Sun 03/01 Mon
6pm
03/02 Tues 03/03 Wed
03/04 Thurs
03/05 Fri
9am
03/06 Sat
1pm
03/07 Sun
03/08 Mon
6pm
03/09 Tues 03/10 Wed
03/11 Thurs
03/12 Fri
9am
03/13 Sat
1pm
 03/14 Sun 03/15 Mon
6pm
 
03/16 Tues 03/17 Wed
03/18 Thurs
03/19 Fri
9am
03/20 Sat
1pm new
full
5pm
03/21 Sun 03/22 Mon
6pm
03/23 Tues 03/24 Wed
03/25 Thurs
03/26 Fri
9am
 
 
03/27 Sat 
1pm
03/28 Sun
03/29 Mon
6pm
03/30 Tues 03/31 Wed 04/01 Thurs 04/02 Fri
9am
04/03 Sat
1pm

Name (print clearly)__________________________________________________

Address_____________________________________________________________

City/State/Zip________________________________________________________

Email_______________________________________________________________

Phone#___________________________ Class Date________________________
Check must be enclosed to save your space in class. You may cancel or reschedule your class one time with a 72 hour notice to receive a refund. Schedule and fees are subject to change without notice. Confirmations of class will be sent by email. We do our best not to cancel a class, please be considerate and try to keep your original appointment. Thank you.

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