Skills Session Registration

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** PLEASE NOTE: Skills Sessions Are For AHA eLearning (online) Students ONLY

** AHA eLearning Certificate of Completion required. **

** Astricks indicate required fields. **

 

Classification
** First Name:
** Last Name:
** Address 1:
Address 2:
** City:
** State:	Select: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ** Zip Code:
** Email Address:
** Contact Number:
Company / Business
Work Number:	Ext:
** Course Selection:	Select: BLS for Healthcare Provider Heartsaver First Aid, CPR, AED Heartsaver First Aid (only) Heartsaver CPR & AED (only)
Course Date:	Select: ~ 2025 ~ January 8th, 2025 / 3:30-4:30pm January 23rd, 2025 / 3:30-4:30pm Febuary 5th, 2025 / 3:30-4:30pm March 10th, 2025 / 3:30-4:30pm April 8th, 2025 / 4-5pm April 16th, 2025 / 3:30-4:30pm
** Attendees / Cost:	Select: ~ BLS Provider Course ~ 1 - $65 / BLS 2 - $130 / BLS 3 - $195 / BLS 4 - $260 / BLS 5 - $325 / BLS 6 - $390 / BLS 7 - $455 / BLS 8 - $520 / BLS 9 - $585 / BLS 10 - $650 / BLS more than 10 BLS ~ Heartsaver First Aid, CPR, & AED ~ 1 - $75 / FA,CPR & AED 2 - $150 / FA,CPR & AED 3 - $225 / FA,CPR & AED 4 - $300 / FA,CPR & AED 5 - $375 / FA,CPR & AED 6 - $450 / FA,CPR & AED 7 - $525 / FA,CPR & AED 8 - $600 / FA,CPR & AED 9 - $675 / FA,CPR & AED 10 - $750 / FA,CPR & AED more than 10 FA,CPR & AED ~ Heartsaver First Aid (only) ~ 1 - $50 / FA 2 - $100 / FA 3 - $150 / FA 4 - $200 / FA 5 - $250 / FA 6 - $300 / FA 7 - $350 / FA 8 - $400 / FA 9 - $450 / FA 10 - $500 / FA more than 10 FA ~ Heartsaver CPR & AED (only) ~ 1 - $50 / CPR & AED 2 - $100 / CPR & AED 3 - $150 / CPR & AED 4 - $200 / CPR & AED 5 - $250 / CPR & AED 6 - $300 / CPR & AED 7 - $350 / CPR & AED 8 - $400 / CPR & AED 9 - $450 / CPR & AED 10 - $500 / CPR, & AED more than 10 CPR & AED
** Method of Payment:	PayPal (for your convenience) Credit/Debit (via PayPal - no account required)

 

Upon submission you will be redirected to payment page to complete transaction.

PLEASE NOTE: Due to high volume within the website, confirmation message may be delayed. If you arrive at our "thank-you" page after submitting your registration you can be assured that your registration is complete & verified - so there is no need to resubmit the form again. Thank you.