First Aid / CPR by Sam King Registration Form

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Come learn and be certified in Adult/Pediatric CPR, First Aid, and AED! This form can be used for Individual or Troop/Group registration.

Email *

The date we are registering for is:

Sunday, November 5, 2022, 6:00pm - 9:00pm

I am interested and need a different date. Please contact me.

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County where Girl Scout(s) live: *

Whatcom

San Juan

Skagit

Island

Snohomish

Region: King County

Region: South

Region: Peninsula

Required

First and Last Names of Cadettes attending: *

Write "N/A" if none.

First and Last Names of Seniors attending: *

Write "N/A" if none.

First and Last Names of Ambassadors attending: *

Write "N/A" if none.

First and Last Names of Registered Adults attending: *

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