CPR Registration Inquiry

1

Name of person taking CPR class* This field is required.

First Name

Last Name

2

Email of person taking CPR class* This field is required.

example@example.com

3

Phone Number of person taking CPR class* This field is required.

Please enter a valid phone number.

4

Do you work in a Child Care program? Either licensed or licensed exempt.* This field is required.

Yes

No

5

Which Child Care Program do you work for?* This field is required.

6

Are you the owner of a licensed in-home Child Care Program?* This field is required.

Yes

No

7

Do you live in either Deschutes County, Crook County, Jefferson County, or the Confederated Tribes of Warm Springs?* This field is required.

Yes

No

8

If applicable, when does your current CPR certification expire? Please note, if you are wanting to register for a renewal class, your CPR certification CANNOT be expired on the date of the class.

9

Which CPR Class are you interested in? All in person portions of the classes will be in Redmond.

Hybrid CPR/First Aid for Adults, Infants and Children (3 hours online, 2 hours in-person)

Renewal CPR/First Aid for Adults, Infants and Children (2-3 hours in-person; current certification cannot be expired)

Other

10

Any Additional Questions?