Online Course Registration Form

Before signing up, please view our cancellation/reschedule policy. Your registration will not be confirmed until your deposit of $25 is received. Pay by Paypal using the form below. The $25 deposit can only be refunded according to the cancellation/reschedule policy. READ the Course Description, Class Information and Student Materials closely for your desired class selection.

STEP 1: Register for Course

Your Name (required)

Your Email (required)

Phone

Address

City, State & Zip

Course

Course Date & Time:

Comments/Questions

By clicking the Send button below, you are agreeing to our cancellation/reschedule policy.

**Your Course Registration is NOT complete! After you hit Send, you will be redirected to the Online Deposit page. Once your $25.00 deposit is paid, your course is reserved. Your deposit is applied towards your total payment.

We will see you at the 104 Crutcher Pike, Richmond, KY location unless other arrangements have been made in advance.

Member of the American Heart Association Instructor Network

Debbie Alexander BSN, RN

(859) 248-8189

Online Course Registration Form

STEP 1: Register for Course

Register Online

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CPR of Richmond KY

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