Babysitter CPR Form
Babysitter CPR Request Form
If you are a resident of the Marthasville Fire District and you would like to attend a babysitter cpr, aed and basic first aid course please fill out the following form.
What is your name?
What is your phone number?
Are you a resident of the Marthasville Fire Prot. Dist.?
How many people will be in attendance?
What is your email?
When is the best time to make contact with you?
Have you ever been certified in cpr before?
Are you 18 years of age or older?
Enter PIN
PIN =
Enter the answer to the math problem to submit this form.
This helps prevent spam.

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