2. TO: Battalion Chief Follick
4. Clayton Fire Department offers CPR and First Aid training to businesses. The classes are scheduled as needed and require at least five students. The class is free for residents or businesses within Clayton, Englewood or Union, the class is $55.00 for non-Clayton, Englewood, or Union residents and businesses and must be paid one week prior to the start of the class.
6. First Name*
7. Last Name*
8. Phone Number*
10. Home or Work Address*
12. City*
13. State
14. Zip*
16. Reply Email Address*
    Enter the Email address you want us to reply to.
18. Type of training or education you are signing up for?

    1. CPR / AED and Basic First Aid
    2. Basic Life Support (Health Care Professionals)
20. Have you had this training before?

    1. YES
    2. NO
22. Which date do you wish to attend?*

    Tuesday December 6, 2022  7:00 pm  Englewood

    Saturday January 7, 2023  9:00 am  Clayton

    Tuesday February 7, 2023  7:00 pm  Englewood

    Saturday March 4, 2023   9:00 am   Clayton 

    Tuesday April 4, 2023  7:00 pm   Englewood 

    Saturday May 6, 2023   9:00 am   Clayton 

    Tuesday June 6, 2023  7:00 pm   Englewood 

    Saturday July 1, 2023   9:00 am   Clayton 

    Tuesday August 1, 2023  7:00 pm   Englewood 

    Saturday September 2, 2023   9:00 am   Clayton 

    Tuesday October 3, 2023  7:00 pm   Englewood 

    Saturday November 4, 2023   9:00 am   Clayton 

    Tuesday December 5, 2023  7:00 pm   Englewood 

24. Comments
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field