Your Name: Enter your name exactly as you would like it to appear on your certification card. It cannot exceed 30 characters. If your name is not spelled correctly on your provider due to your spelling it incorrectly on this registration page, you will be subject to a fee for the reprinting. Organization: Email: Phone: Training Needed: BLS For Healthcare ProvidersHeartsaver First Aid + BLS ProviderHeartsaver CPR AED (Adult, Child & Infant)Heartsaver CPR AED (Adult only)Heartsaver First Aid + CPR AED (Adult)Heartsaver First Aid + CPR AED (Adult, Child & Infant)Bloodborne PathogensHeartsaver First AidFamily & Friends CPRInfant CPR Certain regulatory bodies require specific curriculums/certifications. In order to quote you appropriately, are you required to have this training by OSHA, a health licensing board, or another regulatory body?: (If you are unsure, please call 262-420-4151) YesNo Number of Participants: Desired STS Location: —Please choose an option—DelavanElkhornBurlingtonCome to Me If You Selected "Come to Me": Does your office have available: TV with audio and visual hook-up onsite YesNo Electrical outlet YesNo Enough tables and chairs for all individuals YesNo Space to accommodate XX for CPR mannequin stations (get the sizing of the 3 CPR spaces) YesNo Internet YesNo Does your facility have free parking? If "No", please put in the comments the price of parking.: YesNo When do you need this class?: ASAP1-2 weeks2-4 weeks1-2 months2+ months The current edition AHA course book is required for class. You may purchase your own or STS can provide you with a book for $5: I will bring my own AHA coursebook.I would like STS to provide a book. How did you hear about us? : AHA websiteEventOnline searchReferral Please provide days and times that will work with your schedule.(Please note that we will need access to your facility 35 minutes before the start of class to set up the mobile training)