Pediatric CPR & First Aid Registration

"*" indicates required fields

Personal Information

Name*

First Last

Home Address*

Street Address Address Line 2 City State ZIP Code

E-Mail Address*

Phone*

Organization (if paying for the registration)

Name

Address

Street Address City State ZIP Code

Phone

Payment

Payment Type*

Pay by credit card: $135.00

Pay by cash/check: $135.00

Invoice my organization: $135.00

Total Amount

Please send cash/check payment to:
Craig School of Business
Missouri Western State University
4525 Downs Dr | Popplewell Hall 208
St Joseph, MO 64507

For more information, contact Teresa Buttz at (816) 271-5615.

After you click the submit button below, you will be redirected to the payment gateway. Please go through the payment process completely, being sure to click on the "continue" button in Touchnet at the end, and save your payment confirmation email.

Please be sure to fill out your organization's information above.