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866-620-0510
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Home
Schedule
CPR Classes
First Aid & CPR Training
BLS
ACLS
PALS
EMS
EMS Initial Education
Emergency Medical Responder
Emergency Medical Technician
Critical Care Paramedic
EMS Continuing Education
DT4EMS
Mobile Classes
About Us
Contact Us
Instructor Information
Instructor Number
*
Enter Your Full Name
*
Enter Your Email
*
Location of Training to be Held
Course Location
*
Type of Course to be Taught
*
HeartSaver CPR Only
HeartSaver First Aid Only
HeartSaver CPR/First Aid Combo
HeartSaver Pediatric CPR/First Aid
HeartSaver Skills Check
Basic Life Support (BLS)
Basic Life Support (BLS) Skills Check
ACLS
ACLS Skills Check
PALS
PALS Skills Check
PEARS
PEARS Skills Check
ASHI CPR/First Aid
ASHI CPR/First Aid
Address
*
City
*
State
*
Zip Code
*
Course Date
*
Class Start Time
*
01
02
03
04
05
06
07
08
09
10
11
12
HH
00
05
10
15
20
25
30
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50
55
MM
AM
PM
AM/PM
Acknowledgement
I agree to the following:
*
I understand that the TC or AHA may send a representative to my class to monitor. I understand that it is my responsibility as a AHA instructor to ensure all the guidelines are met as outlined in the most updated version of the PAM, instructor manual and TC policy and procedure manual.
I acknowledge and agree with the above statement
Verification
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