Streamline Your CPR, AED & First Aid Class Registration

Collect CPR, AED and First Aid class sign-ups online with course and session selection, renewal card uploads, accommodation requests and payment options.

השתמשו בתבנית בחינם תצוגה מקדימה

Jade ערכת עיצוב

formbuilder.ai/f/cpr-aed-first-aid-certification-class-registration-session-selection-form

CPR, AED & First Aid Certification Class Registration & Session Selection Form

Full Name (exactly as it should

· · ·

Email Address (your digital cert

· · ·

Phone Number (for class reminder

· · ·

שליחה

This CPR, AED and First Aid Certification Class Registration form gives training providers a simple way to enroll participants and lock in their preferred session. Attendees enter their name exactly as it should appear on their certification card, an email address for their digital card, and a phone number for class reminders. They then choose their course, class format, registration type, training location, and preferred date and time. They can also pick an alternate date in case a session fills up.

The template is built for CPR instructors, authorized training centers, EMS agencies, hospitals, fitness facilities, schools, and workplace safety coordinators, and it handles both first-time and renewal students. Renewal participants can provide their current certification expiration date and upload their existing card. Blended learning students can attach their online course completion certificate before the hands-on skills session. An accommodations section asks about physical limitations that could affect kneeling or performing chest compressions, plus any mobility, hearing, vision, language, or learning support needs.

Collecting registrations online eliminates paper sign-up sheets, phone calls, and back-and-forth emails. Instructors receive complete, accurate rosters before class, can verify renewal eligibility in advance, and can plan accommodations so every participant can complete the skills check with confidence. Flexible payment options, including purchase orders, vouchers, and group codes, make it easy to register both individuals and employer-sponsored groups. Customize the courses, locations, and session times to match your schedule and start filling your classes today.

3 עמודים

19 שאלות

~6min זמן מילוי

חינם כלול בכל התוכניות

סוגי שדות בחירה יחידה ×4 תאריך ×3 טקסט קצר ×2 רשימה נפתחת ×2 שם מלא אימייל טלפון העלאת קובץ כן / לא טקסט ארוך termsandconditions חתימה

השאלות בתבנית

תבנית חינמית

אלה השאלות שכלולות בתבנית — אפשר להתאים כל אחת מהן לצרכים שלכם.

עמוד 1 Participant Information 4 שאלות

Participant Information

1 Full Name (exactly as it should appear on your certification card) * שם מלא

2 Email Address (your digital certification card will be sent here) * אימייל

3 Phone Number (for class reminders and schedule updates) * טלפון

4 Employer or Organization (if applicable) טקסט קצר

עמוד 2 Course & Session Selection 9 שאלות

Course & Session Selection

1 Select Your Course * רשימה נפתחת

2 Class Format * בחירה יחידה

3 Registration Type * בחירה יחידה

4 Current Certification Expiration Date (renewals only) תאריך

5 Upload Current Certification Card (renewals) or Online Course Completion Certificate (blended learning) העלאת קובץ

6 Training Location * רשימה נפתחת

7 Preferred Class Date * תאריך

8 Preferred Session Time * בחירה יחידה

9 Alternate Class Date (in case your preferred session is full) תאריך

עמוד 3 Accommodations, Payment & Consent 6 שאלות

Accommodations, Payment & Consent

1 Do you have any physical limitations or medical conditions that may affect your ability to kneel on the floor or perform chest compressions? * כן / לא

2 Describe any physical limitations or accommodations you need (e.g., mobility, hearing, vision, language, or learning support) טקסט ארוך

3 Payment Method * בחירה יחידה

4 Purchase Order, Voucher, or Group Code (if applicable) טקסט קצר

5 I understand that certification requires full attendance and successful demonstration of hands-on skills (plus a written exam where required); that renewal participants must hold a current, unexpired card; that blended learning participants must complete the online portion before the skills session; and that training involves physical activity such as kneeling and performing chest compressions. I agree to the 48-hour cancellation and rescheduling policy. * termsandconditions

6 Participant Signature (parent or guardian if participant is under 18) * חתימה

איך משתמשים בתבנית

לחצו על "השתמשו בתבנית בחינם" כדי לפתוח אותה בעורך של FormBuilder. שם תוכלו להוסיף, להסיר או לסדר מחדש שדות בגרירה ושחרור, להחליף ערכת עיצוב לעיצוב מחדש מיידי, להוסיף את הלוגו שלכם, להגדיר התראות במייל ולקבוע את הודעת ההצלחה. כשהכול מוכן, פרסמו עם קישור ייחודי והתחילו לאסוף תגובות מיד.