REGISTRATION

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Name Email

Address City Zip

Phone School/Employer

Your check and registration form must arrive at least two days prior to the class date.

Heartsaver CPR (Adult / Child/ Infant) 6pm-9pm 1^st Thursday of every month –or-

1pm-4pm 3^rd Saturday of every month –or-- Except December

6pm – 9pm 4^th Monday of every month. Except December

Mo/Day _____________ Course Fee $35.00

Textbook Fee $10.00 $____________

Heartsaver CPR plus AED 6pm – 10pm 4^th Monday of every month. Except December

Mo/Day _____________Course Fee $55.00

Textbook Fee $15.00 $___________

BLS for Healthcare Provider

Initial Certification 6pm – 10pm 2^nd Tuesday of every month.

Mo/Day _____________Course Fee $50.00

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Renewal Course 7pm--9:30 pm 3^rd Tuesday of every month

Mo/Day _____________Course Fee $40.00

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Practice Session & Skills Test-eLearning Course 6pm-6:30 pm 3^rd Tuesday of every month

Mo/Day _____________Course Fee $25.00

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Textbook Fee $15.00

$___________

Pediatric First Aid 9am – 1pm 3^rd Saturday of every month. Except December

Mo/Day ______________Course Fee $45.00

Textbook Fee $15.00 * $___________

*This AHA Heartsaver Pediatric First Aid text is mandatory for this course. If you have a 2006 copyright text, please bring it with you to the course. Otherwise, one may be purchased.

Adult First Aid 6 pm – 10pm 1^st Tuesday of January, March, May, July, Sept., November

Mo/Day ______________Course Fee $45.00

Textbook Fee $15.00 * $___________

*This AHA Heartsaver Pediatric First Aid text is mandatory for this course. If you have a 2006 copyright text, please bring it with you to the course. Otherwise, one may be purchased.

Combo Course: Heartsaver CPR & Pediatric First Aid 9am – 4pm 3^rd Saturday of every month. Except December

Mo/Day ______________Course Fee $80.00

Textbook Fee $15.00 * $___________

*This AHA Heartsaver Pediatric First Aid text is mandatory for this course. If you have a 2006 copyright text, please bring it with you to the course. Otherwise, one may be purchased.

TOT Lifesaver 6pm – 9:30pm 1^st Monday of every even month.

Mo/Day ______________Course Fee $35.00

Textbook Fee $15.00 $___________

Mail check to: H.E.R., Inc.~ Conant Center~ 5 Wally Krueger Way~ Bridgewater, MA ~ 02324

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