Registration Module 13: CPR- Cardiopulmonary Resuscitation Please register for our training event by filling in the form below Name * First Last * Last Spouse/Partner Name If Attending Email * Phone Number * Street Address * City * State * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Choose your class * Rocky Hill| March 22| March 22| 1 Saturday| 10:00am-1:00pm Rocky Hill| March 24| March 24| 1 Monday| 10:00am-1:00pm Rocky Hill| March 31| March 31| 1 Monday| 6:00pm-9:00pm Rocky Hill| April 12| April 12| 1 Saturday| 10:00am-1:00pm Rocky Hill| April 16| Aril 16| 1 Wednesday| 6:00pm-9:00pm Rocky Hill| April 22| April 22| 1 Tuesday| 10:00am-1:00pm I am an * Private Agency Licensed Home (please provide name) DCF Licensed Foster Home DCF Licensed Pre-Adoptive Home DCF Relative Care Home DCF Special Study Home DCF Authorized Respite Home Adoptive Family Home DCF Staff Member Other Independent Licensed Name of Private Agency Licensed Home This Module requires a prepayment of $45.00 per person in order to be registered. After you submit this form, you will be taken to the payment options screen – you can choose to pay by check, credit or debit card, PayPal or Venmo. (Click the black Proceed to Checkout button to pay via check.) PLEASE NOTE: Your registration is not complete until we receive your payment. Captcha If you are human, leave this field blank. Click the button to print the registration form. Print this page