CPR/AED Class Registration Form
Event Timing: 2022 Class dates: First Monday of each month dependent on instructor availability.
Event Address: Fortuna Volunteer Fire Department, 320 S. Fortuna Blvd., Fortuna, CA 95540
Contact us at (707) 725-5021 or cglass@fortunafire.com
Sign in to Google to save your progress. Learn more
Email *
Name *
Age
Contact number. *
Organization (if applicable)
What class are you registering for? (classes are held on the 1st Thursday of each month. Thursdays that fall on a holiday may be subject to change and it is advised to call for confirmation.) *
MM
/
DD
/
YYYY
Previous CPR/AED training? (not required to attend) *
Required
How would you like to pay? (an invoice will be sent to the email provided but payment may be made on the day of class) *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy