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Heartsaver First Aid Course Registration

To reserve a space in the Heartsaver First Aid Course, please complete and submit the registration form below. If payment is to be made by your employer or other agency, we require a purchase order or letter from your employer confirming and authorizing such arrangement and payment must be received prior to the course. We will need this confirmation at least one week prior to the start date of the first class.* Once your registration form and payment have been received and confirmed, you will receive a confirmation email verifying your reserved seat in the course.

Registration Requirements

  1. Completed registration form below.
  2. Payment for the course paid online.
  I am registering for the

  February 9 - Heartsaver First Aid
  March 8 - Heartsaver First Aid
  April 12 - Heartsaver First Aid
  May 10 - Heartsaver First Aid
  June 14 - Heartsaver First Aid
  July 12 - Heartsaver First Aid
  August 9 - Heartsaver First Aid
  September 13 - Heartsaver First Aid
  October 11 - Heartsaver First Aid
  November 8 - Heartsaver First Aid
  December 13 - Heartsaver First Aid
* Indicates Required Field
*Full Name

A value is required.
*DOB
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*Address

A value is required.
*City/Town
A value is required.
*State
A value is required.
*Zip Code
A value is required.Invalid format.
*Phone (day)
Required.
Phone (evening)
Phone (cell)
*Email
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*Credit Card:   MC    VISA    American Express    Discover
*Amount to be Paid   $  A value is required.Enter tuition amount.
*Name on Credit Card   Name is required.
*Card Holders Billing Address
A value is required.
*City A value is required. State A value is required. Zip A value is required.Invalid format.
*Credit Card #   Required.
*Security Code # on back
.
*Exp Date A value is required. mm/yyyy

I understand that the information provided to When Seconds Count, Inc. will be kept confidential and I hereby attest that the information supplied on this Babysitting Course Application is complete and accurate.

Tuition Refund Policy
If for any reason you would need to cancel your registration, we require a minimum of a 7 day notice to receive a full refund otherwise you are responsible for and will be billed the course total.

I have read and understand the above registration form, its requirements, tuition and tuition refund policy.

*Signature of Applicant:
Your name is required.

(In typing my name here validates my application, all credit card payments, tuition responsibility and I am 18 years of age or older)
Date
A value is required. mm/dd/yyyyy
How did you hear about the course?
Newspaper | Web Search | TV Ad | Friend | Co-Worker
State List | Former Student |

Register early
Seating is limited


Heartsaver First Aid

Tuition: $52.00 per person
Class Date
& Times:

2012
February 9th
March 8th
April 12th
May 10th
June 14th
July 12th
August 9th
September 13th
October 11th
November 8th
December 13th

ALL CLASSES
6:00 p.m. to 9:00 p.m.
Location: WSC Training Center
97 Boston Street
Salem, MA

Pediatric First Aid

Tuition: $52.00 per person
Class Date
& Times:
Check Back Soon for new Dates.

ALL CLASSES
6:00 p.m. to 9:00 p.m.
Location: WSC Training Center
97 Boston Street
Salem, MA

CLICK to Register