AHA Registration


 BLS For Healthcare Provider
o Course Description: One and two person CPR, AED, and management of Choking. 4 hours.
o Target Audience: Professional Medical Workers.
 Heartsaver CPR / AED
o Course Description: Basic Techniques of one-rescuer CPR, AED, and management of Choking. 4 hours.
o Target Audience: Lay responders with a duty to respond, such as fitness instructors, security guards, day care center personnel, and teachers.
 Heartsaver CPR / AED / FIRST AID
o Course Description: The same as Heartsaver CPR / AED, with additional training in first aid. 8 hours.
 Unless specifically stated otherwise, all classes are conducted at our station – 16 Summer Street, Peterborough. Be on-time for class – late arrivals may be turned away without refund.
 Please wear comfortable clothing, you should expect to spend considerable time kneeling on a floor practicing skills associated with performing CPR.
 We reserve the right to cancel classes due to insufficient enrollment. If so, all registrants will be notified at least 72 hours prior to the class and full refunds provided.
 We require payment to be submitted in advance, payable to “Town of Peterborough”.
o This is non-refundable unless the class is cancelled or you reschedule/ cancel your reservation (via e-mail only) at least 4 days prior to the class.
 Specific Fees:
o BLS For Healthcare Provider: $60 (*) course fee
o Heartsaver CPR / AED: $55 (*) course fee
o Heartsaver CPR / AED / FIRST AID: $70 (*) course fee
** If you live within a town directly served by Peterborough Fire & Rescue Ambulance Service (Peterborough, Sharon, Dublin, Hancock, Greenfield, and Francestown) you may subtract $20 from the course fee. I.E., Heartsaver CPR / AED is $55 - $20 = $35 final course fee.
 We do schedule specific classes for groups. Please contact us to discuss your needs.
 LT Scott Symonds, AHA Training Center Administrator. This email address is being protected from spambots. You need JavaScript enabled to view it.
(please mail this form with your payment)
Course Registering For: _________________________________________
Course Date: __________________________________________________
Your Name (as you would like it on your card): ________________________
Home Address: _________________________________________________
Town: _______________________, State: ____________, Zip: _________
Phone Number: ___________________
E-Mail Address (write this CLEARLY please!): _________________________
(your AHA card will be emailed to this address)
Please remit with payment by check, payable to “Town of Peterborough”.
 Remember to subtract $20 if you live in a town Peterborough Fire & Rescue Ambulance Service serves.
Mail completed Registration Form and Payment to:
o Peterborough Fire and Rescue
o Attn: LT Scott Symonds, AHA/ CPR Coordinator
o 16 Summer Street
o Peterborough, NH 03458
You can also drop off the form and payment at the station. Please have it in an envelope with “Scott Symonds” on the front.