When:		Date to be determined or as listed 

Time:		8:30 am – 11:30 am CPR/AED
12:00 pm - 3:00 pm First Aid or Friends and Family - depending upon need

Where:		Glenside Fire Protection District
			1608 Bloomingdale Road
			Glendale Heights, IL 60139
			(630) 668-5323

Details:	Textbook, video and instructor provided

Class:		Pre-registration is required
A minimum class size of 4 is required for class to be conducted.

Cost:		$50 Heartsaver CPR or First Aid Cert
			$10 Friends and Family 
All fees must be received 72 hours prior to the scheduled class date.

Questions or concerns can be directed to an Instructor at (630) 668-5323 or info@glensidefire.org

Registration Instructions – Please complete the attached form for each attendee and return form by fax to (630) 668-5396 or email to info@glensidefire.org  You can also drop off the form and payment during business hours of 8 AM – 4:00 PM at the firehouse. Thank you!

HEARTSAVER CPR/AED TRAINING,
FIRST AID OR 
FRIENDS AND FAMILY CPR 

HEARTSAVER CPR/AED TRAINING,
FIRST AID OR 
FRIENDS AND FAMILY CPR 

Registration Instructions – Please complete the form and return by fax to (630) 668-5396 or email to info@glensidefire.org 
You can also drop off the form and payment during business hours of 8 AM – 4:00 PM at the firehouse. Thank you!

Name:	     		
	
Address:	     	
	
City, St, Zip:	     	
	
Email:	     		
	
Phone:	     				Fax:	     	

	Yes, I would like to attend the CPR/AED course

	Yes, I would like to attend the FIRST AID course

	Yes, I would like to attend the FRIENDS AND FAMILY course 

	No, I am unable to attend this date, but please place me on your reserve list for the next class.

Please provide a description of why you are taking this course.
     	

Office Use Only  		
Paid by:  	    	Cash           Cashier’s Check	  Money Order
       Credit Card		   Reminder email/phone call