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Home
Schedule
CPR Classes
First Aid & CPR Training
BLS
ACLS
PALS
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
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HH
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MM
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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