CPR Training

Throughout the year, we have CPR classes which are open to the public, businesses and healthcare providers at a low cost. If you are interested in learning or recertifying in CPR, please fill out the form below or call our station at (609) 965-4046 and ask for Captain Lynne Dentino-Frazin. Classes are held the 3rd Saturday of every month at a time to be announced. (special arrangements can be made for large groups). Advanced registration is required.

Cost of Class
Heart Saver (Lay Person)	Basic Life Support (Healthcare Providers)	Businesses
$20.00 per student	$65.00 per student	Based on number of students

CPR Class Sign Up Form

Are you interested in taking this class as a(n):

Individual for personal use (1 form per student)

Group for business/organization use (1 form per business/organization)

Which Type of CPR do you need training in?

Please provide the following contact information:

First Name *

Last Name *

Business Name

(if applicable)

Street Address *

Address (cont.)

City *

State *

Zip Code *

Home Phone *

Work Phone

E-mail

When is the best time to call to confirm your registration and where?*

at

Why would you like to learn CPR?*

Have you ever been trained in CPR before?*

If you answered yes above, how many years ago?

year(s)

How did you hear about our classes (check all that apply)?

Flyer

Friend/Colleague

G-TV Channel 2

Web Site

Other:

Any questions or comments:

Please read the statement below and click on the circle at the beginning of the statement before submitting form.

I understand this form is just a request to attend the above class and I will receive a

confirmation call within 24-72 hours to confirm a seat.

*Required

This page was last updated 09/18/07