Class Registration | First Response Erie

Class Details

Enter the organization and class information, then list each participant who needs certification. Personal email addresses are preferred for online course access and certification records.

Blended-course participants must complete the assigned online coursework before the in-person skills session. Students are responsible for having access to a compatible device, browser, and internet connection. A laptop, desktop computer, Chromebook, or tablet is strongly recommended; mobile phones may not display all course features correctly.

Leave this field empty:

Organization *

Class Date *

Class Time

Course *

Primary Contact *

Contact Email *

Contact Phone *

Training Location

Number of Students *

Participants

Select the number of students above and the matching participant fields will appear. First name, last name, and personal email are required for each participant listed.

Student 1 *

First Name

Last Name

Personal Email

Phone

Are any participants renewing?

Known expiration date(s)

Notes

I understand that HSI certification requires completion of any assigned online coursework and successful hands-on skills evaluation. I also understand that participants should contact First Response LLC before class if they may need an accommodation to participate in the skills session.

Participant Information for Scheduled Training

Class Details

Participants

Student 1 *

Student 2

Student 3

Student 4

Student 5

Student 6

Student 7

Student 8

Student 9

Student 10

Student 11

Student 12

Student 13

Student 14

Student 15

Student 16

Student 17

Student 18

Student 19

Student 20