Payment required at time of registration:

PayPal and VENMO (see below)

Once received, you will get email(s) with specific instructions.

Full Name

High School Affiliation

Email Address

Cellular Phone #

LAST 4-Social Security #

Birthdate

Virtual (Online PRE-RECORDED) First Aid for Coaches Date

Select CPR Date & Time: Limited Space Available

Pay here with Venmo......

Pay here with PayPal......

First Aid for Coaches

Price: $30.00

First Aid for Coaches Course

Quantity:

CPR Training

Price: $40.00

Heartsaver CPR Training

Quantity:

BOTH: Discount

Price: $60.00

Both: CPR & First Aid for Coaches Courses

Quantity:

Product

Quantity

Amount ($)

Subtotal ($):

Last updated: 03-01-2021