Use this form to sign up for classes. If you sign up for more than 1 class at a time you will receive a discount.

Class

Date

	CPR/AED
	$25.00	(ex: 03/10/2008)

	First Aid
	$25.00	(ex: 03/10/2008)

	Bloodborne Pathogens
	$25.00	(ex: 03/10/2008)

	Fire Safety
	$25.00	(ex: 03/10/2008)

Total Cost:

** If your contact information is different than what is on your PayPal account, please add a note before submitting your payment or send me an email so I know who you are!

When you click PROCEED> it will take you directly to PayPal where you can use your PayPal account or a credit card (no account required) to finish the registration.