Student Course Registration Student Course Registration Complete this form to register a student for a course and process payment! Your (Recruiter) Email Student's Full Name * Student Email Address * Student Phone Number Student's Profession My Products * Heartsaver First Aid (Laymen) $100.00 Heartsaver First Aid course for laymen. Qty: 123 45 BLS Initial $100.00 Select if talent has never taken BLS or expired. Qty: 123 BLS Renewal $70.00 Basic Life Support Renewal course. Qty: 123 ACLS Initial $250.00 Advanced Cardiovascular Life Support Initial. Qty: 123 ACLS Renewal $130.00 Advanced Cardiovascular Life Support Renewal. Qty: 123 PALS Initial $250.00 Pediatric Advanced Life Support Initial. Qty: 123 Total: $0.00 Secure Payment Visa / MC / Amex Cardholder Name Card Number Expiry CVC Submit Registration & Pay
