Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailPhone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBLS Healthcare Provider – $40.00. Please select a date. ALL CLASSES BEGIN AT 6:00PM *May 5, 2020; 6:00PMJune 2, 2020; 6:00PMJuly 7, 2020; 6:00PMSeptember 15, 2020; 6:00PMOctober 6, 2020; 6:00PMNovember 3, 2020; 6:00PMDecember 8, 2020; 6:00PMTotal$ 0.00Stripe Credit Card *CardName on CardPlease read the following and click each box indicating you have read and understand. *CANCELLATION POLICY: No refunds will be given for cancellations received 7 calendar days or less before the day of class. Requests for refunds more than 7 days prior to class must be submitted by filling out the cancellation form. The form can be found on our website at www.lifetouchems.com and click on the CPR tab.REFUND FEE: All refunds are subject to 3.65% processing feeI understand that since books are not required, that a book is NOT included. If I want a book, I must purchase it on my own.This class is only for Healthcare Providers. It does NOT satisfy the requirements for Daycare Provider Licensing or anyone needing Pediatric First Aid, CPR & AED.EmailSubmit