CPR Registration

Please complete the following form to register for the CPR Class of your choice.

  • Course Information

  • MM slash DD slash YYYY

  • Student Information

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY

  • Race / Ethnicity - Optional

    The following questions are confidential. Your responses will help the technical college evaluate recruitment and retention practives and will not affect admission to the class. Please respond to both questions.
    (That is, a person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or orgin, regardless of race)?
    (Check all that apply).