City of
Englewood
Division of
Fire • EMS
333 W. National Rd.
Englewood, Ohio 45322
(937) 836-2399
___________________
CPR Class Signup
Name:
Address:
City:
State:
Zip Code:
Phone:
E-Mail:
Class Needed (Check all that apply)
Type of Certification
Initial
Certification
(never had a CPR certification
before)
Renewal
Certification
(have had CPR certification before)
Level of Certification
CPR-AED
for the Community and Workplace
CPR
for the Professional Rescuer (Healthcare
Providers)
Age Group Needed
Adult
Child /
Infant
Choice of Dates
1st Choice
2nd Choice
3rd Choice
When Complete, Please click the View Form
Button Below↓.
Print out the page
that comes up and bring it to Station 99 @ 1099 Union Rd
near
the intersection of Union Rd and I-70
Please include a Check or Money Order made out to Englewood Fire
Department for $10.00 with your
registration (this includes a textbook -- NO CASH -- NO REFUNDS)
We will contact you either by phone or e-mail to confirm your
registration and date of class
You can also mail in your forms with
payment to:
Englewood Fire Department
ATTN: CPR Registration
333 W. National Rd.
Englewood, Ohio 45322
NOTE: THIS FORM IS ONLY FOR THE
REGISTRATION OF THOSE WHO DO NOT RESIDE OR WORK
IN THE CITIES OF
ENGLEWOOD OR UNION
IF YOU RESIDE OR WORK IN THE CITY, YOU MAY REGISTER FOR FREE BY
CALLING (937) 836-2399
Clicking on this button does not register you for
the class
You must Mail or Hand Deliver your Registration Form and Payment
in order to Register
