First Aid Class Registration

First Aid Class Registration — Form Fields

This registration template includes 7 fields. Register for a community first aid and emergency response training class. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, required)
• Phone Number (text, required)
• Class Date (dropdown selection, required) — options: March 29 (Saturday, 10am–2pm), April 12 (Saturday, 10am–2pm), May 3 (Saturday, 10am–2pm)
• Why are you taking this class? (multiple choice, required) — options: Personal preparedness, Work or professional requirement, School or volunteer requirement, Childcare provider
• Have you completed first aid training before? (multiple choice, required) — options: Yes, renewal, No, first time
• Number of Attendees (including yourself) (number, required)