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.

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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

· · ·

Submit

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 Pages

19 Questions

~6min To complete

Free Included on every plan

Field types Single Choice ×4 Date ×3 Short Text ×2 Dropdown ×2 Full Name Email Phone File Upload Yes / No Long Text termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Participant Information 4 questions

Participant Information

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

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

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

4 Employer or Organization (if applicable) Short Text

Page 2 Course & Session Selection 9 questions

Course & Session Selection

1 Select Your Course * Dropdown

2 Class Format * Single Choice

3 Registration Type * Single Choice

4 Current Certification Expiration Date (renewals only) Date

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

6 Training Location * Dropdown

7 Preferred Class Date * Date

8 Preferred Session Time * Single Choice

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

Page 3 Accommodations, Payment & Consent 6 questions

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? * Yes / No

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

3 Payment Method * Single Choice

4 Purchase Order, Voucher, or Group Code (if applicable) Short Text

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) * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.