2. Hands-Only 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. If requesting a group class, how many individuals will be in attendance?
20. Please note:

    This class is offered free of charge. 

    Individuals will be notified about class scheduling when a minimum number of attendees is met. 

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

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field