SCAN | SCAN Training Registration

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SCAN Training Registration

All training registrations are due 10 days prior to the session. Priority is given by submission date.

Non-SCAN agency staff will be charged:

CPR: $60
CPI: $50
CPI Re-Cert: $25
Carseat: $25

If no agency is listed on the registration the individual will be invoiced. If a registrant No Shows more than once the agency will be charged for the seat. Payment is due within 30 days of the invoice date.

If you or your staff are in need of CPR training please contact Jessica Hicks at [email protected].

Personal Information

Name:

Cell #:

Email:

Date Hired:

Department:

Agency Information

Agency Name:

Agency City:

Immediate Supervisor:

Program Administrator:

Emergency Contact Information

Name:

Cell #:

Home #:

Training Information

This section will *NOT* work without JavaScript enabled. If you cannot enable JavaScript (see above instructions), you will need to contact SCAN directly to register at (260) 421-5000.

Training Type:

Note: If a training type is not listed, there are none offered at this time.

Selection:

Note: Locations marked TBA are based on # registered per area. Training may be offered in Fort Wayne, South Bend, Warsaw, or Merrillville.

Special Needs:

Additional Comments: