Class Enrollment

BLS HEARTCODE Jun 25, 2021 1:00 PM - 2:00 PM

De Beque Fire Department
4580 I-70 Frontage Road
De Beque CO 81630

Student Information

First Name

Last Name

Address

Apt / Suite #

City

State

Zip Code

Home Phone

Work Phone

Email Address

Retype Email Address

Employer

Job Title

Department

Payment Information

Pay by credit card Pay by check (mail in a check)

You will enter your credit card information on the following page.

Total Due: $45.00

Cancellations: Students are asked to cancel enrollment online as soon as possible. All courses have limited seating. In the event you cannot attend please allow room for other students to participate, by canceling your enrollment in a timely manner.

Student cancelations received 2 business days before the start of a course will not be refunded. There will be no refunds for no-show students.

You may cancel a registration for a course by accessing the website and selecting "Cancel My Course". Only click "Continue" once to prevent duplicate registrations.