Form Center

CPR Class Registration

2. CPR, AED and First Aid education are provided by City of Harrison Fire/EMS through a charter with American Heart Association. CLASS LOCATION: Harrison Fire Department 200 Harrison Ave. Harrison, OH 45030

   CPR, AED and First Aid education are provided by City of Harrison Fire/EMS through a charter with American Heart Association. CLASS LOCATION: Harrison Fire Department 200 Harrison Ave. Harrison, OH 45030

4. Heartsaver First Aid, CPR/AED - Occupational certifications (Offered the first and second Saturday of each month) There is a $50 fee for this course, which includes a test. You may take an online course and come in for the test only, for a $25 fee.

   Heartsaver First Aid, CPR/AED - Occupational certifications (Offered the first and second Saturday of each month) There is a $50 fee for this course, which includes a test. You may take an online course and come in for the test only, for a $25 fee.

6. Basic Life Support for Healthcare Providers for MDs, RNs, FFs, EMTs, LPNs, CMAs (Offered the third and fourth Saturday of each month) There is a $40 for this course, including renewals. You may take an online course and come in for the test only, for $25.

   Basic Life Support for Healthcare Providers for MDs, RNs, FFs, EMTs, LPNs, CMAs (Offered the third and fourth Saturday of each month) There is a $40 for this course, including renewals. You may take an online course and come in for the test only, for $25.

8. Please bring a check payable to "Harrison Fire Department" to the class. If you're attending only to take a test, please bring a check for $25 and your certification.

   Please bring a check payable to "Harrison Fire Department" to the class. If you're attending only to take a test, please bring a check for $25 and your certification.

10. QUESTIONS Eric Weil eweil@harrisonohio.gov Steve Placke (513) 202-8486

    QUESTIONS Eric Weil eweil@harrisonohio.gov Steve Placke (513) 202-8486

11. *STUDENTS MORE THAN 15 MINUTES LATE WILL NOT BE PERMITTED IN CLASS AND WILL NEED TO RESCHEDULE. **Limit of seven students

    *STUDENTS MORE THAN 15 MINUTES LATE WILL NOT BE PERMITTED IN CLASS AND WILL NEED TO RESCHEDULE. **Limit of seven students

13. First Name*

14. Last Name*

16. Phone number*

17. Email*

19. Address1

21. Address2

23. City

24. State

25. Zip

27. Please Make a Selection

    If you are registering for "test only" you must bring a copy of your certification.

    1. $50 Heartsaver First Aid, CPR/AED Course + Test at 9:00 a.m.
    2. $25 Heartsaver First Aid, CPR/AED (Test Only) at 8:00 a.m.
    3. $40 Basic Life Support Course + Test at 9:00 a.m.
    4. $25 Basic Life Support (Test Only) at 8:00 a.m.
28. Heartsaver Class or Test Date
    -- Select One --Heartsaver, Jan. 4 Heartsaver, Jan. 11 Heartsaver, Feb. 1 Heartsaver, Feb. 8 Heartsaver, Mar. 7 Heartsaver, Mar. 14 Heartsaver, Apr. 4 Heartsaver, Apr. 11 Heartsaver, May 2 Heartsaver, May 9 Heartsaver, June 6 Heartsaver, June 13Heartsaver, July 11Heartsaver, August 1Heartsaver, August 8Heartsaver, Sep. 5 Heartsaver, Oct. 3 Heartsaver, Oct. 10 Heartsaver, Nov. 7 Heartsaver, Nov. 13 Heartsaver, Dec. 5 Heartsaver, Dec. 12

29. Basic Life Support Class or Test Date
    -- Select One --Basic Life Support, Jan. 18 Basic Life Support, Jan. 25 Basic Life Support, Feb. 15 Basic Life Support, Feb. 22 Basic Life Support, Mar. 21 Basic Life Support, Mar. 28 Basic Life Support, Apr. 18 Basic Life Support, Apr. 25 Basic Life Support, May 16Basic Life Support, May 23 Basic Life Support, June 20 Basic Life Support, June 27 Basic Life Support, July 18 Basic Life Support, July 25 Basic Life Support, Aug. 15 Basic Life Support, Aug. 22 Basic Life Support, Sep. 19 Basic Life Support, Sept. 26Basic Life Support, Oct. 17 Basic Life Support, Oct. 24 Basic Life Support, Nov. 21 Basic Life Support, Dec. 19

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30. 1. Receive an email copy of this form.
31. Email address

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