Training Class Registration

IMPORTANT:  All Imagine! employees please Click here to register for classes.

Click here to register for our FREE Classes. (Building Cooperative Behavior)

Personal Information

Full Name:

Worksite / or Company:

Phone:

Alternate Phone:

Email Address (Confirmation will be sent here):

 
Select Classes and Dates
  CPR and First Aid Combined - $112 
  Medication Administration Full Certification - $74
  Signs & Symptoms / Infection Control - $45 
 
Payment Information

Name as it appears on your credit card: 
Credit Card Number (MUST be entered without spaces): 
Total to be charged to your credit card: 
Credit Card Type: 
Expiration Date:   Month:    Year:

If you receive an error upon submit, you have either forgotten to submit payment, or you are an Imagine! employee.  If you are an Imagine! employee, you may not use this form to register for classes, please click here to register for classes.

Note: All purchases are final and no refunds will be issued after 72 hours. If you are not submitting payment at this time, you will not be registered for the classes you selected above.