Fillable Division of Emergency Medical Service Community Education and (City of Cleveland)

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Division of Emergency Medical Service Community Education and (City of Cleveland)

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BROWSE CITY OF CLEVELAND (OH) FORMS

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City of Cleveland
Division of Emergency Medical Service
Community Education and Training
CPR/AED Training Registration Form
First Name: Last Name:
Organization (if applicable):
Address:
City: State: Zip:
Phone No: Other Phone:
Instructions: Fill in the information below. This form can be saved and sumitted via email attachment to
EMSCommunityEdu@city.cleveland.oh.us , Fax: 216-420-8373, or printed and returned to:
City of Cleveland
Division of Emergency Medical Service
Attn: Community Education
1701 Lakeside Ave
Cleveland, OH 44114
Once the form has been received, someone from Community Education will contact you about scheduling training.
If you have any questions, call EMS Community Education at (216) 664-6029, or email
EMSCommunityEdu@city.cleveland.oh.us
(Note: All classes are held at Cleveland EMS Headquarters 1701 Lakeside Ave. Cleveland, Ohio 44114)
Please select the desired dates for training:
First Choice:
Email Address:
Approximately How Many Participants:
Third ChoiceSecond Choice:
(Revised 7/2015)
*All classes are the American Heart Association Family and Friends non-certified course*
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Division of Emergency Medical Service Community Education and (City of Cleveland)

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Completed 12 February 2021

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