Booking Form

[tribe_attendee_registration]

[tec_tickets_checkout]

Name *

First

Last

Company Name (if applicable)

Email *

Additional Email

Phone Number *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date of birth

USI Number

Unique Student Identifier # (USI) – If not available now, you must bring this on the day of training

Do you have a current certificate which has not expired?

Do you require additional support with reading, writing or speaking English?

I have been given the opportunity to obtain a copy of the Privacy Notice (see link in website footer)
I understand that I will have to complete any required precourse work.
I have reviewed and accept the student handbook and known my rights and responsibilities.
I understand that in order to be issued a certificate, I must be able to perform 2 minutes of uninterrupted CPR on a manikin placed on the floor.