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Course Application
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Atendee Information
Company (If you are registering on behalf of a Company please fill out the Company Name below, if not fill in None) *
Title *
Miss.
Mr.
Mrs.
Firstname *
Lastname *
ID Number (Sedula) (If unavailable fill in your birth year, birth month, birth day and 00 e.g. 1984102600)) *
Id Type *
ID Card (Sedula)
Birth Date (YYYY-MM-DD) *
Contact Information
Email *
Street Name *
Street Number *
Mobile Number *
Home Number
Work Number
Course Information
Course *
AHA BLS HcP (Price ANG: --, Price USD: --, Duration: 4 Hours)
AHA Heartsavers FA- CPR & AED (Price ANG: --, Price USD: --, Duration: 5 Hours)
AHA Heartsavers CPR & AED (Price ANG: --, Price USD: --, Duration: 5 Hours)
AHA BLS HcP Instructor (Price ANG: --, Price USD: --, Duration: 6 Hours)
AHA ACLS Provider (Price ANG: --, Price USD: --, Duration: 8 Hours)
AHA ACLS Instructor (Price ANG: --, Price USD: --, Duration: 6 Hours)
AHA PALS Provider (Price ANG: --, Price USD: --, Duration: 8 Hours)
AHA PALS Instructor (Price ANG: --, Price USD: --, Duration: 6 Hours)
AHA PEARS Provider (Price ANG: --, Price USD: --, Duration: 6 Hours)
AHA Family & Friends (Price ANG: --, Price USD: --, Duration: 2 Hours)
AHA Heartsavers BLS Instructor (Price ANG: --, Price USD: --, Duration: 6 Hours)
AHA ACLS EP Instructor (Price ANG: --, Price USD: --, Duration: 6 Hours)
AHA PEARS Instructor (Price ANG: --, Price USD: --, Duration: 6 Hours)
Information Session (Price ANG: 0, Price USD: 0, Duration: 2 Hours)
CHF Hands on Only Training (Price ANG: --, Price USD: --, Duration: 1 Hour)
HeartCode® BLS (Price ANG: --, Price USD: --, Duration: 4)
CHF Basic Life Support Provider (Price ANG: --, Price USD: --, Duration: 5 Hours)
CHF Hands On Only (Price ANG: --, Price USD: --, Duration: 1 Hours)
Notes
Extra information
All courses include certification, food & beverages for the duration of the course. They are provided by full instructors of the International Training Center of the Curacao Heart Foundation. As soon as you sign up we will contact you with all details regarding the location and exact date of the course you selected.
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