Certifying Northern Jersey in CPR & First Aid since 1998.

COURSE REGISTRATION

Please fill out the form below and a CPR instructor will contact you shortly.
Note:
You must have a minimum of 6 students for your class to be held at your home or organization.


First Name:
Last Name/Organizations Name:
Address:
City: State: Zip Code:
Country :
Home or Cell Phone Telephone:
E-Mail: Number of Students:
Course:
Scheduling Preference: Weekday Class Weekday Evening Weekend (Sat/Sun)
Has anyone attending the class every taken a CPR course in the past? Yes No Not Sure
Questions/Comments/Special Considerations:
What is the best time to reach you to discuss your class?:



Copyright © 2007. All Rights Reserved.

 

Please note we are not affiliated with the American Heart Association,
any income generated by classes taught does not represent income to the AHA.