CPR Training for Caregivers CPR Training for Caregivers Enrollment Form Medic One Foundation offers CPR/AED training classes to provide the knowledge and skills necessary for responding to sudden cardiac arrest emergencies. Our trainers are all certified instructors and will provide class participants quality hands-on experience and instruction in emergency medical care. Norris Edwards, from Medic One Foundation, will be the instructor for this class. CPR and First Aid for Caregivers Wednesday September 28th from 1 pm – 4 pm, at 1620 12th Ave located in Capitol Hill First Name Last Name Email Email TypePlease select... Work Personal Alternate Phone Phone TypePlease select... Work Mobile Home Proof of COVID vaccination is required at time of registration. Please consider submitting demographic information. It's completely optional and all information is used for city and county reporting metrics. Demographic information assists us in understanding the diversity of our community and when creating programming to better serve community like you. Would you like to submit demographic information securely to GenPride?YesNo Demographics What is your birthdate? Please use only MM/DD/YYYY Format. What is your Zipcode? RacePlease select... American Indian or Alaska Native Asian, Asian American Black, African, African-American Hawaiian Native or Pacific Islander White Other Multi-Racial Race Other Hispanic or LatinoYesNo Sexual OrientationPlease select... Bisexual Gay Heterosexual Lesbian Other Queer Questioning Sexual Orientation Other Gender IdentityPlease select... Female Male Other Gender Identity Other Do you identify as Transgender?YesNo Would you like to receive our GenPride eNewsletter for the latest news & updates? YesNoIf you believe you're already signed up, feel free to not answer this question or select 'Yes' Contact Information
