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ACLS Registration Form
Advanced Cardiac Life Support and Basic EKG Recognition Registration Form
- Preregistration is required in person, by phone, or submitting this online form.
- Registration must be received at least ten (10) days in advance of class to allow for materials to be mailed and reviewed by participant.
- Your packet will include a pretest that must be completed before class begins.
- Tuition includes the American Heart Association Provider textbook.
- Cancellations - One class rescheduling is permitted with notice of unavoidbable circumstances.
Please complete this form and select a payment option below. Payment options:
- Credit card by completing registration online or faxing this completed page to 757.446.5906
- Check (complete form, print page and mail along with payment to:
Tidewater Center for Life Support Training - 145Eastern Virginia Medical School358 Mowbray Arch, #103Norfolk VA 23507