Calendar & Events
EMR Class Registration
If you do not have a CPR card then enter "None" for the fields about your CPR card below the line.
Your First and Last Name
Your Phone Number
Has your agency approved you to attend this training?
I have a current CPR Card
Enter the Title of your CPR Card (e.g., BLS Provider, Professional Rescuer, etc.) or None if you do not have one.
Enter Certifying Agency for your CPR card (e.g., AHA, Red Cross, National Safety Council, etc.) or None if you don't have one.
Enter Expiration Date of your CPR card or None:
I understand BLS/Healthcare provider level (or equivalent) CPR certification is required and that I must submit a copy of my card to the Course Director before the course end date:
I agree by entering my name here and submitting this registration form to pay the $400 cost of the class.
Cancellations must be made by Friday, August 28th, if not, your agency will be invoiced in full ($400). Substitutions will be accepted.
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1988 W Ida Street,
Stayton, OR 97383
8:00 AM - 5:00 PM
Monday - Friday