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Date sent: 1/8/2009
EMERGENCY MEDICAL EDUCATION
Carrollton Fire Department
CPR CLASS REGISTRATION FORM
Fax: 972-466-4886; Email: cfd.eme@cityofcarrollton.com; Phone: 972-466-4901
Emergency Medical Education offered by the Carrollton Fire Department is a cost recovery organization. Our goal is to make CPR Training available and affordable to all businesses and residents of Carrollton and the DFW area.
To schedule a class, fill out the form below (everything in red) and email or fax as indicated above.
Use your ‘TAB’ key to move from field to field.
Payment is due at time of class. Cash is accepted, as well as MasterCard and Visa.
Checks should be made payable to “Carrollton Fire Department” with CPR listed in the memo section.
Contact Name:
Phone: Date:
GROUP CLASSES
Available Classes
Hours
Classes Needed
Cost/Person
Number of People*
Sub Total
Total
Adult CPR / AED
4
$40.00
Pedi (Child & Infant) CPR
3
$35.00
Adult & Pedi CPR / AED
6
$50.00
Adult & Pedi CPR / AED / First Aid
8
$60.00
First Aid
Initial Healthcare Provider and Recertification – contact Lynn Abrams at 972-596-5052
* 6 people minimum per class
Combination classes share information which shortens class length.
Books are $13.00 each (must library at least one).
Total Cost:
INDIVIDUAL CLASSES
Taught at Rosemeade Recreation Center once a quarter. Three classes are offered:
Available Classes Times Cost
CPR – Adult with AED 9:15 – 1:15 p.m. $30 for one class
CPR – Pediatric (Child & Infant) 2:15 – 4:15 p.m. $45 for two classes
Basic First Aid 4:15 – 6:15 p.m. $60.00 for three classes
The first class is $30; additional classes taken on same date cost an additional $15 per course.
For more information on Rosemeade classes, or to register for a class, please contact them at:
Rosemeade Recreation Center
1330 Rosemeade Parkway