Class Registration

Use the form below to schedule an your appointment online. To schedule by phone call at (763) 477-5766. Click here to make payment by credit card or check and money order directions.

DATE & TIME

Month:

Start Time:

Location:

# Of Participants:

CONTACT INFORMATION

Business Name:

First Name:

Last Name:

Full Address:

Phone:

Email:

TRAINING INFORMATION

Type of Training:

Healthcare Provider CPR refresher

Healthcare Provider CPR initial

Heart Saver CPR / AED initial training

Pediatric CPR And First Aid initial training

Basic First Aid

Heart Saver refresher course

Pediatric CPR and First Aid refresher course

Other Information:

PAYMENT INFORMATION

Payment Type: