Individual Registration All classes are held at 12800 Chandler Blvd., Valley Village CA. 91607 Class date: Course: BLS for Healthcare Providers Initial & AED ($59) BLS for Healthcare Providers Renewal & AED ($44) Healthcare (BLS) Textbook ($15) EMT 24 hrs Refresher Course ($160) AHA Basic Life Support Instructor Course ($360) EMT 4 hrs Skills Review & Testing (Accelerated Program) ($130) EMT 6 hrs Continuing Education only ($25) EMT 6 hrs Skills Review, Testing & CE ($70) Heartsaver CPR Adult, Child, Infant & AED ($49) Heartsaver CPR A/C/I , AED & First Aid ($69) Heartsaver Pediatrics First Aid ($69) Heartsaver AED (Automated External Defibrillator) ($49) Heartsaver * In Spanish * CPR A/C/I , AED & First Aid ($75) Heartsaver * In Spanish * CPR A/C/I & AED ($55) Bloodborne Pathogens ($45) Ca Child Care (sticker) CPR C/I, First Aid, Health & Safety ($99) Positive Parenting Childrens behavior Class – 5 meetings ($0) BLS for Healthcare Providers Skills Only ($34) Family and Friends CPR ($35) * What is your professional or reason for requiring CPR training ? Agriculture Worker Babysitter Biking Guide Body Trainer Boy/Gilrscouts Parent/Guide Business / Organization Camp Counselor Camp Guide Camp Student Camp Parent Care Giver Child Development Personal Chiropractic Church Construction Worker Day Care Teacher/Worker Driver / Transportation Drug and Alcohol Counseler Education - Student Education - Teacher Education - Other Foster Parent Healthcare - Acupuncture School Healthcare - Acupuncturist Healthcare - Dentist, Assistance and Tech Healthcare - EMT's Healthcare - Medical Assistance Healthcare - Nurse / CNA / RN Healthcare - Nursing School Healthcare - Paramedic Healthcare - Perfusionist Healthcare - Pharmaceutical Healthcare – Physical Therapist Healthcare - Physician and Staff Healthcare - Speech Therapist Healthcare - Technician Healthcare - Other Kids Coach Instructor Lifeguard Manufacturing Music Therapist Nanny Other Occupational Therapist Parent / Familiy Scuba Diving Security Guard State Employee Synagogue Other: Participant Information First Name: * Please type the name you wish to appear on the card. Last Name: * Please type the name you wish to appear on the card. E-Mail: * Organization: Address: *   City: * State: ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WASHINGTON, D.C. WEST VIRGINIA WISCONSIN WYOMING * Zip: * Phone: * Fax: How did you hear about us? American Heart Association Friends/Family/Co-Workers Guy / Dorit Internet - Craigslist Internet - E-Store Internet - Google – Natural Ad Internet - Google – Sponsor Ad Internet - Other Referrals Internet - Other Search Engines Internet - PagesLA.com Internet - Yahoo – Organic Ad Internet - Yahoo – Sponsor Ad LeTip Matt Goodman Maxim Healthcare Other non internet Returned Client Sophie DCC Store Sign Telephone Directory We in American Yellow Pages Other * If other please specify... Please add any comments and/or special requests. Please arrive 15 minutes early

CPR & First Aid
Classes in Your Place or Ours
Privacy Policy