CPR Interest Form

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CPR Interest Form

**FREE CPR CLASSES**
Open to anyone because it's never too early to save a life!

Please reserve your spot by filling out this form. Everyone needs to fill out this form to reserve their spot. If you have more than one in your group please have everyone fill out a form for themselves.

Do you want to get your certification? That's $25 paid to the instructor. Do you need BLS Training? That's $35 paid to the instructor. Cash or credit card (via Venmo @hanjam13).
Dates Available:

6900 W 117th Ave #400
Broomfield, CO 80020
joyfuljourneys.org
303 667-9695
If you have any questions please email Amber Bach our Programs Director at programs.joyfuljourneys.org.

*This class qualifies for requalification for Santa Shop, Back to School Supply Drive, Holiday Dinners, and Easter Baskets for all past recipients

***To all of the wonderful families who have been recipients of the Adams County Santa Shop, Back to School Supply Drive or any other assistance programs in the past, in order to be eligible for repeat assistance in years to come you will need to participate in any number of our free or low-cost programs throughout the year! We have several dates and times to join our educational and empowerment classes, sports, our Young Leaders Board, help with our community gardens or various other opportunities. Joyful Journeys Community Enrichment believes in the philosophy "Teach a man to fish" and the power of self-sufficiency! Let's make a change together!!! Please commit to attending any event in which you sign up for, failure to show will result in a two-year suspension from our programs.

**CLASES DE Resucitación cardiopulmonar (RCP) GRATIS**
¡Abierta a cualquiera, porque nunca es demasiado pronto para salvar una vida!

Reserva tu plaza rellenando este formulario. Todos deben completar este formulario para reservar su lugar. Si tiene más de uno en su grupo, haga que todos completen un formulario por sí mismos.

¿Quieres obtener su certificación? Eso es $25 pagados al instructor. ¿Necesita entrenamiento BLS? Eso es $35 pagados al instructor. Ella acepta efectivo y tarjeta de crédito (a través de PayPal).
Fechas disponibles:

6900 W 117 Ave #400
Broomfield, CO 80020
joyfuljourneys.org
303 667-9695

Si tiene alguna pregunta, manda un correo electrónico a Amber Bach, nuestra Directora de Programas a programs.joyfuljourneys.org.

*Esta clase califica para la recalificación para la Tienda de Papá Noel, la Colecta de Suministros para el Regreso a la Escuela, las Cenas Navideñas y las Canastas de Pascua para todos los beneficiarios anteriores

Participant's Name (First & Last) / Nombre del participante (nombre y apellido) *

Participant's Email address(or guardians email) / Dirección de correo electrónico de los participantes (o correo electrónico de los tutores) *

Participant's Age group / Grupo de edad del participante *

11-18

19-24

25-49

50-64

65+

Participant's Ethnicity / Etnicidad del participante *

American Indian/Native American

Asian

Black/ African American

Caucasian (White)

Hispanic/Latino

Middle- Eastern/ North-African

Pacific Islander

Multi Race

Other

What city do you live in? / ¿En qué ciudad vives? *

What County do you live in? / ¿En que país vives?

Adams

Broomfield

Jefferson

Weld

Denver

Boulder

Larimer

Arapahoe

Clear selection

What type of CPR class are you interested in? / ¿Qué tipo de clase de CPR le interesa? *

Education and kit (FREE) / Educación y kit (GRATIS)

Heartsaver CPR/AED/ First aid certification $25 / Heartsaver CPR/AED/Certificación de primeros auxilios $25

BLS Training $35 / Entrenamiento SVB $35

Babysitting CPR training $45 / Niñera Entrenamiento en CPR $45 (NOT AVALUBLE AT THIS TIME)

Date you would like to attend? / ¿Fecha en la que te gustaría asistir? *

Thursday 3/28/24 10:30AM-12:30PM / Jueves 28/03/24 10:30 a.m.-12:30 p.m.

Thursday 4/18/24 12:30PM-2:30PM/Jueves 18/04/24 12:30 p.m.-2:30 p.m.

Wednesday 5/1/24 12PM-2PM / Miércoles 5/1/24 12 p.m.-2 p.m.

Tuesday 5/21/24 1PM-3PM / Martes 21/05/24 1PM-3PM

Thursday 6/6/24 10:30AM-3PM / Jueves 6/6/24 10:30 a. m. a 3 p. m. (BABYSITTING CLASS)

Are you taking this class to Requalify for 2023 Holiday/School assistants programs?

(Easter baskets, Back to school, Thanksgiving dinners, Santa Shop, & Christmas Dinners)

**** Past recipients if you commit to attending this event in which I'm signing up for, failure to show will result in a two-year suspension from Joyful Journeys' programs.

¿Está tomando esta clase para volver a calificar para los programas de asistentes escolares/de vacaciones de 2023?

(Cestas de Pascua, Regreso a la escuela, Cenas de Acción de Gracias, Tienda de Papá Noel y Cenas de Navidad)

**** Destinatarios anteriores si se comprometen a asistir a este evento en el que me inscribo, la falta de asistencia resultará en una suspensión de dos años de los programas de Joyful Journeys.

Yes / Si

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