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CPR Interest Form
scarr
2021-03-31T02:22:45+00:00
CPR, AED & First Aid Class Interest Form
Organization Name
*
Contact Name
*
First
Last
Contact Email
*
Phone
Estimated number of participants to be trained
*
Due to COVID-19 considerations, there is a maximum of 5 participants in each class. If you have more than 5 people to be trained, we will work with you to determine the number of classes to be scheduled.
What days/times are convenient for your organization? (check all that apply)
*
Weekdays from 4-6pm
Weekdays from 6-8pm
Weekends
I'd like to request a specific date
Other
What date(s) would you prefer?
*
Other (please provide more info):
*
Where would you like your training class(es) to be held?
*
CPR training classes at our facility are held in the Wellness Center to the left of the main hospital entrance located at 2000 Hospital Dr., Sedro-Woolley.
Our facility on the Sedro-Woolley hospital campus
Your facility or other location
Location where the class(es) will be held:
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
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