Registration Module 13: CPR- Cardiopulmonary Resuscitation Please register for our training event by filling in the form below Name * First Last * Last Spouse/Partner Name If Attending Email * Phone Number * Street Address * City * State * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Choose your class * New Haven-Spanish| November 11| November 11| 1 Saturday| 10:00am-1:00pm Rocky Hill| November 13| November 13| 1 Monday| 10:00am-1:00pm Rocky Hill| November 18| November 18| 1 Saturday| 10:00am-1:00pm Rocky Hill| November 29| November 29| 1 Wednesday| 6:00pm-9:00pm Rocky Hill| December 11| December 11| 1 Monday| 10:00am-1:00pm Rocky Hill| December 16| December 16| 1 Saturday| 10:00am-1:00pm Rocky Hill | December 20| December 20| 1 Wednesday| 6:00pm-9:00pm I am an * Private Agency Licensed Home (please provide name) DCF Licensed Foster Home DCF Licensed Pre-Adoptive Home DCF Relative Care Home DCF Special Study Home DCF Authorized Respite Home Adoptive Family Home DCF Staff Member Other Independent Licensed Name of Private Agency Licensed Home This Module requires a prepayment of $45.00 per person in order to be registered. Payment Methods * Pay by Check Via Mail Pay Now with Credit Card To Pay By Credit Card: PLease click Submit Registration and you will be brought to the payment page. To Pay By Check:Please fill in the registration form (all information is required) and mail along with your payment to:CAFAFAttn: Rochelle2189 Silas Deane Highway, Suite 2Rocky Hill, CT 06067 reCAPTCHA If you are human, leave this field blank. Click the button to print the registration form. Print this page