Darien Junior Football League

PLEASE READ THESE INSTRUCTIONS COMPLETELY BEFORE BEGINNING

We have arranged with International CPR Institute, Inc. to provide your CPR/AED training.

PLEASE DO NOT SUBMIT THIS FORM UNTIL YOU ARE READY TO TAKE THE COURSE.

Course

	First Aid Course
	CPR Renewal Course

Name

First Name: Last Name: Your Email: Verify Email:

Create a Password - REMEMBER YOUR PASSWORD

Password: Repeat Password: