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"Supporting LIFE through knowledge"

PRESENTS

American Academy of Pediatrics Standards

NRP

    $120.00 Registration Fee - $70.00 Retraining Fee

Please note that all students must have a copy of the new 2005 N.R.P. text

If NRP text is desired, include $55.00 for material and postage.

Participants may cancel 72 hours prior to commencement and expect an 80%

refund within 3 weeks. After 72 hours no refund will be given, but rescheduling may be a

consideration. (Rescheduling fee $55.00)

Classes must be completed within 30 days of the original scheduled class.

Once the course begins, or you have re-scheduled, no refunds will be given.

This program is offered by LIFE ED. Provider approved by the California Board of

Registered Nursing, Provider Number CEP11164, for 10 contact hours for full provider.

Certificate will be issued upon completion of course and NRP provider card will be mailed within 3 weeks.

No fees are received by the American Academy of Pediatrics or the American Heart Association.

Clip and mail to: LIFE ED, 1128 S. Euclid Ave., San Gabriel, CA 91776

(626) 286-1169 - FAX (626) 286-1269

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REGISTRATION

NRP Provider

Name:

Home Phone:

Home Address:

City:

State:

Zip:

Prof. License No.

Place of Employment:

Please check one:

R.N.

M.D.

L.V.N.

PARAMEDIC

Other

Class date I would like to attend:

MAKE CHECKS PAYABLE TO: LIFE ED

Credit Card No.

Expires:

Check here if you would like to be contacted for payment options.

(Register early since class size is limited.)

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