CPR Group Class Request
Group class is considered 6 or more students for group discount to apply
Name of business requesting group class
*
Name of contact person
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Type of group class needed (all courses come with a 2 year certification except 1hr)
*
BLS/ Basic Life Support (recommended for healthcare workers)
Heartsaver / CPR and AED for Adults (recommended for nonhealthcare workers)
Heartsaver/ CPR, AED for Adult and Child
Heartsaver/ CPR, AED for Adult, Child and Infant
Heartsaver/ CPR, AED and First Aid
Free 1 hour CPR presentation
Accreditation Source
*
AHA (American Heart Assosciation)
Health and Safety Institute
Other
Date and Time classes needed (listing multiple dates and times are recommended) All classes are booked in 4 hour blocks per guidelines
*
How many class participants (groups are considered 6 or more)
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6-10
10-15
15-20
20 or more
Other
Location of class
*
Our office
your office
Can your facility support videos being shown via TV monitor, Computer, Projector?
*
Yes
No
Please bring your own
Comments
Thank you for contacting True Samaritan CPR we look forward to serving you. Please allow at least 24 hours for response. If you have any questions or concerns feel free to contact us at info@truesamaritantlh.com or 850-212-5697
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