Signup Form No Payment Required To Sign-up & Schedule Name * First Name Last Name Your Location * Please choose city that is closest to your actual location. (within 40 minutes) Bend, Oregon Portland, Oregon Salem, Oregon Eugene, Oregon Phone * (###) ### #### Email Address * Training * Adult First Aid & CPR/AED Adult & Pediatric First Aid & CPR/AED Healthcare Provider CPR Number of Individuals 1 2 3 4 5 6 7 8 9 10 10+ What Times Work Best? *Check all that apply Mornings Afternoons Evenings Weekdays Weekends No Preference Special Requests Days, times, etc... Thank you. We will contact you to schedule your 45 minute refresher.
