2. Certified CPR Course Registration

   Please complete the following form for either individual or group registration. 

4. Group or Individual?*

   1. Group
   2. Individual
6. Name
7. Email Address
9. Address
11. City
12. State
13. Zip Code
15. Phone Number
16. Fax Number
18. What level of CPR training have you previously had?
20. If requesting a group class, how many individuals will be in attendance?
22. Please note:

    The cost for this class is $60 per individual. 

    The West Fargo Fire Department will be in contact to schedule any group class requests. 

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field