AHA BLS Instructor Request Form

Name(Required)
Address(Required)
Accepted file types: pdf, png, jpg, Max. file size: 5 MB.
I understand I will be required to align with Mid-Florida CPR as my Primary Training Center.(Required)
I understand that my alignment with your Training Center does not represent affiliation as an employee, independent contractor, partner, licensee, or franchisee, and I am responsible for the maintenance/purchase of all training equipment.(Required)
I understand all fees paid for the AHA instructor course are NON-REFUNDABLE(Required)
I confirm that by submitting this form, I am ready to complete the $499 payment today for the AHA BLS Instructor class. If you are not ready to complete the payment today, do not submit this form. We do not reserve dates or hold seats for classes until they are paid for.(Required)

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HeadS Up!

All of our classes are held in-person at our only office location in Longwood/Lake Mary, Florida!!