Community Training Registration Form

COMMUNITY TRAINING REGISTRATION FORM
(For Boston Residence Only)
Please use the PayPal Button at the bottom of this form to submit full payment via PayPal, Debit or Major Credit Card or you can use PayPal.Me/Compressions
If you choose to pay via CashApp, Venmo or Zelle, please remember to put your first and last name in the subject line as well as what type of training you are requesting. (Example: Jane Doe, CPR only)
CASHAPP: $linedancing
VENMO: @compressions
ZELLE: 617-733-1330

ALL TRAININGS MUST BE PAID IN FULL WHEN YOU REGISTER, IF YOU SUBMIT A REGISTRATION WITHOUT FULL PAYMENT, YOUR TRAINING WILL NOT BE CONFIRMED.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Please Select Where You Plan to Attend Training *

Community Training Date Requested *

Are you Retraining with Compressions? *

Yes No

Your Home Address *

Line 1

Line 2

City

State

Zip Code

Country

How Many Will Attend *

Type of Training Needed *

CPR Only (Infant/Child) CPR & First Aid (Infant/Child) CPR Only (Adult) CPR & First Aid (Adult)

Training Time *

I agree to receiving marketing and promotional materials

Submit