Badgerland CPR & First Aid
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**Note that all fields on this form are required to create an account except your middle initial **

First Name
Middle Initial
Last Name
Email Address
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Must have 8 characters, at least one Upper Case letter, and at least one number.

Phone Number
Prepayment Policy

By choosing yes, I understand that prepayment is non-refundable, but is transferable to another schedule class.

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