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2. Click on the class you want to attend
4. Class Selection
   -- Select One --Skills Test - BLS for Healthcare Provider - $40Skills Test - Heartsaver CPR/AED - $40
6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Phone Number (include area code)
19. email address*
21. You will receive an email confirmation from the Fire Dept. with information on how to schedule the skills test
23. Thank you for certifying with the Villa Park Fire Dept.!
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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