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County (Not Your Country)* This field is required.Example: Bronx, Kings, Queens, New York, Westchester, Putnam, Dutchess, Rockland
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Student E-mail* This field is required.
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Mobile Number* This field is required.DEMO: ### #######
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State Photo ID* This field is required.
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Course Start Dates* This field is required.Choose Your Desired Start Date
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BLS Renewal - 08/07/2026 - 10:00AM - Bronx
BLS Original - 08/08/2026 - 10:00AM - Bronx
BLS Renewal - 09/04/2026 - 10:00AM - Bronx
BLS Original - 09/05/2026 - 10:00AM - Bronx
BLS Renewal - 10/02/2026 - 10:00AM - Bronx
BLS Original - 10/03/2026 - 10:00AM - Bronx
BLS Renewal - 11/06/2026 - 10:00AM - Bronx
BLS Original - 11/07/2026 - 10:00AM - Bronx
BLS Renewal - 12/04/2026 - 10:00AM - Bronx
BLS Original - 12/05/2026 - 10:00AM - Bronx
10
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11
TransportationHow do you plan to commute to class most days?
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12
Quick Notes For Office
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Course Payment Description: (Signature Required)* This field is required.Here is a clean, professional, and transparent Payment Description & Policy Page for your website. It breaks down the exact costs, deposit requirements, and cash balances so students know precisely what to expect when registering. Course Pricing & Payment Information At Code One Inc., we keep our registration process straightforward and accessible. To reserve your seat in any of our American Heart Association (AHA) courses, a non-refundable deposit is required online at checkout. Your remaining balance is due in cash at the office on the day of your class. 💳 Course Fee Breakdown 🩺 Basic Life Support (BLS / CPR) Original Course:$100 Total $20 Non-Refundable Deposit (Paid Online Now) $80 Remaining Balance (Paid in Cash at Office) Renewal Course:$65 Total $20 Non-Refundable Deposit (Paid Online Now) $45 Remaining Balance (Paid in Cash at Office) 🫀 Advanced Cardiovascular Life Support (ACLS) Original Course:$200 Total $100 Non-Refundable Deposit (Paid Online Now) $100 Remaining Balance (Paid in Cash at Office) Renewal Course:$165 Total $100 Non-Refundable Deposit (Paid Online Now) $65 Remaining Balance (Paid in Cash at Office) 👶 Pediatric Advanced Life Support (PALS) Original Course:$225 Total $100 Non-Refundable Deposit (Paid Online Now) $125 Remaining Balance (Paid in Cash at Office) Renewal Course:$180 Total $100 Non-Refundable Deposit (Paid Online Now) $80 Remaining Balance (Paid in Cash at Office) 📌 Payment Policy Details ⚠️ Important Policy Notes for Students Seat Reservation: Your seat is only locked in once your online deposit is completed. Deposit Policy: All online deposits ($20 for BLS; $100 for ACLS/PALS) are strictly non-refundable. Day-of-Class Balance: The remaining balance MUST be paid in CASH upon arrival at our training center prior to the start of class. Please bring exact change whenever possible. Rescheduling: If you need to reschedule your course, please notify our team at least 48 hours in advance to transfer your deposit to a future date.
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Card Holder ID UploadUpload ID of Card Holder Required if payer is not student named above (If this does not apply please proceed to next slide)
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Card Holder SignatureCard Holder Signature Required if payer is not student named above (If this does not apply please proceed to next slide)
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Course Payments* This field is required.$20 DEPOSIT REQUIRED (REMAINING CASH PAYMENTS DUE DAY OF CLASS)
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AHA BLS COURSE DEPOSIT
NON REFUNABLE $20 DESPOSIT
REMAINING PAYMENT DUE IN CASH PRIOR TO THE START OF THE COURSE.
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