Booking Form
Please complete this form to provide the information to us. We will forward an invoice and discuss payment options under separate cover. Please be advised that payment must be made in full before the certifications are sent out.
Vendor Name
Vendor Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vendor Phone Number
Vendor Email
example@example.com
Billing Contact Person
Please Choose The Course (Price is per attendee)
prev
next
( X )
Adult CPR/AED-Blended Learning
American Red Cross. Class Setting: ONLINE+CLASSROOM Language: ENGLISH The 2021 Adult CPR/AED course equips students to recognize and care for a variety of breathing and cardiac emergencies involving adults. Upon successful completion a valid 2 year digital certificate for Adult CPR/AED is issued. Meets requirements for: Wilderness and Remote First Aid
$
106.00
Number of attendees
1
2
3
4
5
6
7
8
9
10
Adult & Pediatric First Aid/CPR/AED-Blended Learning
American Red Cross. Class Setting: ONLINE+CLASSROOM Language: ENGLISH The 2021 Adult and Pediatric First Aid/CPR/AED course equips students to recognize and care for a variety of first aid breathing and cardiac emergencies involving adults children and infants. It is designed for students who need a certification that satisfies OSHA workplace or other regulatory requirements. Upon successful completion a valid 2 year digital certificate for Adult and Pediatric First Aid/CPR/AED is issued. Meets requirements for: NYS OCFS: Family Day Care (Part 416), Group Family Day Care (Part 417), School-Age Child Care (Part 414), Day Care Center (Part 418) and Small Day Care Center (Part 418-1). NYC DOHMH: Child Care Program and Family Shelter-Based Drop-Off Child Supervision Programs (Article 47), School-Based Child Care Programs for Children Ages 3 Through 5 (Article 43), and Summer Day Camp (Article 48, Trip Leader). NYSDOH: Summer Day Camp (Subpart 7-2, Trip Leader).
$
125.00
Number of attendees
1
2
3
4
5
6
7
8
9
10
CPR/AED for Professional Rescuers-Blended Learning
American Red Cross. Class Setting: ONLINE+CLASSROOM Language: ENGLISH To train professional-level rescuers to respond to breathing and cardiac emergencies in adults children and infants until more advanced medical personnel take over. This course has been updated to meet the 2015 ECC guidelines.Meets requirements for: NYC DOHMH: Summer Day Camp (Article 48, Health Director).NYSDOH: Summer Day Camp (Subpart 7-2, Health Director).
$
145.00
Number of attendees
1
2
3
4
5
6
7
8
9
10
Pediatric First Aid/CPR/AED-Blended Learning
American Red Cross. Class Setting: ONLINE+CLASSROOM Language: ENGLISH The 2021 Pediatric First Aid/CPR/AED course equips students to recognize and care for a variety of first aid breathing and cardiac emergencies involving children and infants. It is designed for students who need a certification that satisfies OSHA workplace or other regulatory requirements. Upon successful completion a valid 2 year digital certificate for Pediatric First Aid/CPR/AED is issued.Meets requirements for: NYS OCFS: Family Day Care (Part 416), Group Family Day Care (Part 417), School-Age Child Care (Part 414), Day Care Center (Part 418) and Small Day Care Center (Part 418-1).NYC DOHMH: Child Care Program and Family Shelter-Based Drop-Off Child Supervision Programs (Article 47), School-Based Child Care Programs for Children Ages 3 Through 5 (Article 43), and Summer Day Camp (Article 48, Trip Leader).NYSDOH: Summer Day Camp (Subpart 7-2, Trip Leader).
$
125.00
Number of attendees
1
2
3
4
5
6
7
8
9
10
Wilderness & Remote First Aid-Instructor-Led
American Red Cross. Class Setting: CLASSROOM Language: ENGLISH Designed for scouts and scout leaders, outdoor enthusiasts and anyone who works or spends time in remote environments, this course teaches advanced skills to be used in emergencies when help from professional first responders may be far away. Based on the Boy Scouts of America Wilderness First Aid Curriculum and Doctrine Guidelines, this course aligns with OSHA’s Best Practices for Workplace First Aid Training Programs.PREREQUISITES: Must be at least 14 years old and hold current adult CPR/AED certification.Meets requirements for: NYC DOHMH: Summer Day Camp (Article 48, Health Director).NYSDOH: Summer Day Camp (Subpart 7-2, Health Director).
$
300.00
Number of attendees
1
2
3
4
5
6
7
8
9
10
Back
Next
Participants: please check the spelling of names and email addresses, as certificates will reflect the spelling given, and the certificates will be sent to the email address as provided
First Name
Last Name
Email Address
Phone Number
Course
1
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
2
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
3
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
4
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
5
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
6
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
7
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
8
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
9
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
10
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
11
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
12
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
13
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
14
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
15
Adult CPR/AED-Blended Learning-ENGLISH
Adult & Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
CPR/AED for Professional Rescuers-Blended Learning-ENGLISH
Pediatric First Aid/CPR/AED-Blended Learning-ENGLISH
Wilderness & Remote First Aid-Instructor-Led-ENGLISH
Proposed Date of In-Person Session
/
Month
/
Day
Year
Please allow at least seven (7) calendar days for the in-person session to be scheduled.
Proposed Location of In-Person Session
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Name
First Name
Last Name
Contact Phone Number
Please enter a valid phone number.
Contact Email
example@example.com
Preferred Method of Payment (select all that apply):
Zelle
Venmo
Paypal
Credit/Debit Card
Other
Is there anything else that you would like to share?
Submit
Should be Empty: