Class Registration

Maui C.P.R. & First Aid
A.E.D. Defibrillator
Training & Certification

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To pay by phone call: (808)-214-3300

Contact Information
After Registering you will be redirected to the payments page. All Students will be contacted by phone or email to re-confirm the class information, date, start & end time. Paying by cash or company check? - Please put that in the notes when registering

SEATS CAN ONLY BE HELD WITH PRIOR PAYMENTS. - ANY QUESTIONS OR PROBLEMS THEN CALL 808-214-3300.

First Name: *
Last Name: *
CPR w/ AED	CPR w/ AED
First Aid	First Aid
CPR, AED, FA	CPR w/ AED & First Aid
First Requested Class Date: *
First Requested Class Time: *
Daytime Phone: *
Second Requested Class Date: *
Second Requested Class Time: *
Email: *
Employer?: *
How did you hear about us?: *
To make sure you get the correct certification card. Please fill in this box with the type of job you will be using this certification card for.	Massage? - Nurse? - Boat? Tour Guide? - etc.......

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