First Aid & CPR Registration

A service of the Childcare Network and Triton Health & Safety

Time: 9am to 5pm (1/2 hour lunch break, on your own)
Cost: $75 per person NON-REFUNDABLE
Location: The Childcare Network training room

Name:
E-Mail Address:
Mailing Address:
City:
State:
Zip Code:
Phone:
2nd Phone:

Name of child care program, center, or home (leave blank if none):

Please register me for First Aid & CPR on the following date:

July 11, 2009     September 12, 2009     November 7, 2009     January 9, 2010    

I understand that submitting this form will not guarantee my space in the course, and that I must pay $75 to reserve my spot. I understand that my money will be returned to me only if the class is cancelled.