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2. Snoqualmie Fire Dept. Public Safety Class Registration Form

   Fill out and submit this form to reserve space in upcoming Snoqualmie Fire Dept. classes. Please remember to check your preferred class type when registering. You will need to also contact Jessica Rellamas at jrellamas@snoqualmiewa.gov or 425.888.1551 to submit the required class fee. **Please note: At this time only cash or check can be accepted for class fees.**

   Visit www.snoqualmiewa.gov/532/Classes for complete class descriptions. 

3. 
5. Name*
6. Email Address*
8. Address*
10. City*
11. State*
12. Zip Code*
14. Phone Number*
16. Class Options*

    1. Stop the Bleed, June 17 (Free)
18. Participant Age Requirement*

    **Class participants must be 16+ years of age. Please check the box below to confirm that you meet this age requirement.**

    1. Yes, I am 16+ years old
20. Class Location, Dates, Times

    All classes take place at the Snoqualmie Fire Station, located at 37600 SE Snoqualmie Parkway, Snoqualmie, WA 98065.

    2023 CLASS SCHEDULE

    • Feb. 18 - First Aid/CPR/AED,  9am-3pm (FULL)
    • March 4 - CPR/AED,  9am-12pm (FULL)
    • April 8 - First Aid/CPR/AED,  9am-3pm (FULL)
    • May 9 - CPR/ AED,  6pm-9pm (FULL)
    • June 17 – Stop the Bleed,  10am-12pm
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field