Class: Replacement Card Order Form ($25.00)
Start time: Wednesday January 1, 2020 -- 12:00 am
Please fill out the registration form below. The student's contact information does NOT need to match the name and billing address connected to the credit card.
Please do not put credentials (RN, MD, etc.) after your name; we are not allowed to put credentials on your course completion card.
Please leave this box blank if you are unsure. If you know the exact month and day that you took the class, please also enter it below.
The course for which you are enrolled may include physical
strain, the possibility of cross-infection, and emotional stress.
If your physician has recommended that you avoid strenuous
activity or limit your activity in any way, you need to realize
that CPR is hard work. This is true both in practicing on the
manikin and doing CPR for a cardiac arrest victim.
If you have a medical or cardiac history that may be
aggravated by the performance of CPR, you should consult
your physician and ask for advice as to whether you should
participate in a CPR course.
If you have reservations about being able to perform CPR on
a cardiac arrest victim, you should consider this before
beginning the course.
If you have recently had any type of infectious disease,
including upper respiratory infection or open sores on your
mouth or hands, it may be better to defer manikin practice
until you are well. Each student will receive a hard shell mask to use and take home as a real life saving device. We appreciate your understanding these issues and using good judgement.
When you enter the CPR World classroom, you enter an area where photography, audio, and video recording will occur. This will be used to continually improve delivery of educational material from instructor to students and for the validity of content being implied and inferred. Videos will not be viewed by anyone other than CPR World employees. You have been fully informed of your consent, waiver of liability, and release before entering the event.