Email: gina@iowacommunitycpr.com map

Register for Classes by:

  • Mail (print this page, fill-out, and send with payment)

Payment accepted:

  • Cash
  • Check

For Cancellations:

The registration fee minus $20 handling fee is refundable up to three days prior to the class date. There will not be a refund granted for a no-show. Community CPR Classes, may cancel a class within three days of the class date if enrollment is insufficient. If this occurs, the participant will be informed of the cancellation and the entire registration fee will be refunded. Courses cancelled due to adverse weather conditions will be rescheduled. Participants will be granted a refund if there is a conflict with the new date.

 

PLEASE PRINT

First / Last Name________________________ Title / Position__________________

Home Address_____________________ City________ State____ Zip Code______

Employing Agency:________________ Business Phone:(____)__________________

Home Phone(____)__________ Cell Phone(____)_________  Email_____________

Name of Course____________________ Date__________ Time_______________

Charge for Class________ Coupon/Discount___________(include with payment)

 

Send registration with payment in-full to:

Community CPR Classes
(Ingersoll & 40th)
550 40th Street, Ste. A
Des Moines, Iowa 50312