REGISTRATION

STEP 1: Please complete the below form

CBRF Primary Classes (rates are per individual):

  • $200 for Medication Administration - 2 Day Class (Instructor-Led Virtual Class)
  • $100 for Standard Precautions (Instructor-Led Virtual Class)
  • $100 for Fire Safety (Instructor-Led Virtual Class)
  • $100 for First Aid and Choking (Instructor-Led Virtual Class)
  • Or $400 For All Four Primary Classes

Customized training options are available to meet your needs. Feel free to contact me. All sales are final, but participants may reschedule one time or transfer a registration to a different participant one time. No call no shows are also non-refundable and cannot be exchanged.

Check the box next to each primary class that the participant is registering for:





Participant's contact information:

First Name:
Last Name:
Middle Initial:
Phone Number:
Email Address:
Street Address:
City:
Zip Code:
Company Affiliated With:

Participant's date of birth:


Create password for this participant:

    Show Password   
    Show Password   


If you are registering for someone other than yourself, please enter your contact information below:

First Name:
Last Name:
Phone Number:
Email Address:


Please write down and save username (email address) and password in a secure place, and upon registration the participant should sign in to review their material.