CPR Class Registration Form

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In order to guarantee your seat, you MUST pay for the class at any GSCC Business Office by your Orientation date (July 13 in Gadsden or July 14 at Ayers). If you have not paid, you may lose your seat to someone who registers and pays on Orientation day. Class will meet in Room 115 of the Joe Ford Center on the East Broad Campus in Gadsden.

Email *

Last Name *

First Name *

Phone Number *

Choose a class time: *

Friday, July 28 from 8 to 11 a.m. ($75)

Friday, July 28 from noon to 3 p.m. ($75)

Friday, August 4 from 8 to 11 a.m. ($75)

Saturday, August 5 from 8 to 11 a.m. ($75)

Your registration is NOT complete until payment has been received. You may pay at the Business Office on any campus. Please ask the cashier to send a copy of the receipt to Pam Clough.

**It is the official policy of the Alabama Community College System and Gadsden State Community College, a postsecondary institution under its control, that no person shall be discriminated against on the basis of any impermissible criterion or characteristic including, without limitation, race, color, national origin, religion, marital status, disability, sex, age or any other protected class as defined by federal and state law. Inquiries related to this policy may be directed to the Executive Vice President Dr. Tera Simmons, Gadsden State Community College, Joe Ford Center, P.O. Box 227, Gadsden, AL 35902-0227**

A copy of your responses will be emailed to the address you provided.

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