CPR-FA Class Registration
(Please use for CPR-FA and BAT Classes Only)

Step 1... Person Making the Reservation (required fields are in bold)


First name:
Last name:
Street address:
City:
State:
Zip code:

Email address:
example: name@mail.com
Phone number:
example: 281-555-1212
FAX number:
example: 281-555-1213

Affiliation:
Unit Number:

Class Date:

Please verify:
YES I have read the
"Adult Supervision" Policy Statement

YES I understand that I am
responsible for payment of all fees for this reservation

YES Please approve payment at check-in

YES I have read the
"Advancement" Policy Statement

Total Registered:

To Navigation Bar

Step 2... Individual Participant Information
Fees for all classes are $18.00/person except as noted. If you are taking the training with your group or registering as an individual, please re-enter your information as Student #1.
Student 1
Class:

Rank:

Last name:
First name:
Phone Number:

Address:
City State & Zip:

Address & Phone # are not required for BAT Students
To Step 1   To Step 3
Student 2
Class:

Rank:

Last name:
First name:
Phone Number:

Address:
City State & Zip:

Address & Phone # are not required for BAT Students
To Step 1   To Step 3
Student 3
Class:

Rank:

Last name:
First name:
Phone Number:

Address:
City State & Zip:

Address & Phone # are not required for BAT Students
To Step 1   To Step 3
Student 4
Class:

Rank:

Last name:
First name:
Phone Number:

Address:
City State & Zip:

Address & Phone # are not required for BAT Students
To Step 1   To Step 3
Student 5
Class:

Rank:

Last name:
First name:
Phone Number:

Address:
City State & Zip:

Address & Phone # are not required for BAT Students
To Step 1   To Step 3
Student 6
Class:

Rank:

Fees from Scout Account? 
Last name:
First name:
Phone Number:

Address:
City State & Zip:

Address & Phone # are not required for BAT Students
To Step 1   To Step 3
Student 7
Class:

Rank:

Last name:
First name:
Phone Number:

Address:
City State & Zip:

Address & Phone # are not required for BAT Students
To Step 1   To Step 3
Student 8
Class:

Rank:

Last name:
First name:
Phone Number:

Address:
City State & Zip:

Address & Phone # are not required for BAT Students
To Top of Form  

Step 3... Submit the Competed Form to Us!

Press Submit.... Our friendly robot will check your form and help you add anything that was left out or correct information she thinks needs fixing. Please try not to upset the robot. She may start eating our source code again.

If you and the robot simply can not get the page to transmit, please use the "select all" and "print" options on your browser to create a hard-copy version of your registration. You can then email it to register@scoutcpr.org. Or you can make an image copy or PDF of the form and email it to us.

You can clear the form by pressing "reset" or simply exiting this page.

Please let us know if you are having difficulty with our form or our robot. You should receive an acknowledgement email shortly, usually within 24 hours, and a confirmation email about 10 days before the scheduled class. We are still working on our form transmittal system... we do know that the system works properly with Internet Explorer and Outlook Express...


   


Step 4... Complete Your Registration!

Please make your check payable to "The NBO Scout Training Team"

You may request approval to pay course fees Saturday morning at check-in. Please check the box above and your confirmation email will authorize you to pay on-site provided you accept our payment/refund policy. A Unit check is preferred for BSA group reservations. YOU MUST PRE-REGISTER your group. No walk-ins but substitutions are fine! Please email us immediately if your plans change.

We will do everything we can to handle special circumstances for your group and we will honor cancellations received and acknowledged on or before the Monday the week of the scheduled class. Cancellations after that time and no-shows will be handled in accordance with our established policies. The person making this reservation will be responsible for cancellation fees.

To Top of Form

Return to The NBO Scout Training Team Home Page
 

The Northern Branch Office Scout Training Team provides American Red Cross
Health and Safety training courses for Sam Houston Area Council Scouts & Scouters