CPR Registration 2024 - United General District 304

CPR Registration - Spring 2024

Name(Required)

First Last

Email(Required)

Phone(Required)

Which class would you like to register for?(Required)

Saturday, June 1 | 9 am – 1 pm

I qualify for a discount because my household receives one or more of the following benefits:(Required)

Basic Food, WIC, Apple Health

Yes

Which benefits does your household receive? (check all that apply)(Required)

Basic Food (SNAP)

WIC (Women, Infants & Children)

Apple Health

CPR registration fee

Price:

Discounted CPR registration fee

Price:

Payment

Note: Payment for CPR classes is non-refundable. If you cannot attend the in-person class on your scheduled date, please contact Stephanie at Stephanie.Morgareidge@UnitedGeneral.org as soon as possible. You may be able to reschedule to a future class or transfer your spot to another person.

Total

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Credit Card

Card Details

Cardholder Name

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