ALIVE!net :: A Product of Emergency Skills, Inc.

CLASS REGISTRATION - Step 3 of 3

You are registering for the following class:

Class:	AED/CPR (Adult, Child, Infant) - 6 hours
Date:	Tuesday, Jan. 21, 2025
Time:	09:00 am

School:	Region 3 Satellite Office
Location:	90-27 Sutphin Blvd., 231, Jamaica , NY 11435
Borough:	Queens

Your Personal Information:

First Name: *
as it appears on pay stub

Last Name: *
as it appears on pay stub

Cell Phone Number: *

Fax Number:

Job Title:

Address: *

Apt:

City: *

State: *

Zip Code: *

Employee Type: (required)

Email Address: *

Re-Type Email Address:

Payroll Reference # (help):
as it appears on pay stub

* Required

Your School Information:

First, Choose Your School's Borough:

Next, Enter your school's name or number and click Search:
TIP: Enter only a portion of your school name or number.
Example: For John F. Kennedy School, search for "123" or "Kennedy" or "John".

I agree to the ESI Terms and conditions