E Council Online Registration

 Girl Scout Level 1 - First Aid and CPR - Rocklin Individual Registration
 This basic level is for the adult acting as the first aider for most troop activities (see Safety Activity Checkpoints) and is valid for two years through Medic First Aid. The training class offered by Girl Scouts Heart of Central California is Medic First Aid, International, Inc., Pediatric Medic First Aid® with Infant, Child and Adult CPR. Adults who need to re-certify a CPR certificate from any agency other than Medic First Aid® may also enroll in any of these Level 1 training courses. Online courses for First Aid and CPR are not accepted by our council. Our training classes for First Aid and CPR do not meet the requirements of the California Emergency Medical Services for the Child Care Provider license in the state of California and are not intended to do so. To seek providers you can go to the EMSA Web site www.emsa.ca.gov and check their listings.
 Attending Adult (all fields required)
First Name
Last Name
Street Address
City
State
Zip
Mail Notices?
Telephone Number (Day)
Cell/Pager Number (Eve)
Email
Email Notices?
Emergency Contact (other than accompanying adult)
Phone Number (Day)
Phone Number (Eve)
Relation
 Fees / Accessibility
     Wheelchair Accessibility
Fee per Adult: $25.00    Sign Language Interpreter
     Physical Assistance
     Other