Request for Quote

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CONTACT INFORMATION
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What's your first name?* This field is required
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And your last name?* This field is required
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How about your email address:* This field is requiredNo spam - I promise!
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Phone number:* This field is requiredEmail is generally preferred when responding to a quote but sometimes a phone call is best. :)
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Name of agency you're representing:
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Zip Code:* This field is requiredWhere the training will take place
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CLASS
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Which class are you interested in?* This field is requiredIf unsure, please visit www.handsdowncpr.co/classes for more information
BasicPlus - CPR, First Aid, & AED for Adults
Pediatric Plus - CPR, First Aid, & AED for Infant, Children, & Adults
Bloodborne Pathogens
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How many students need to get certified?* This field is required
Not sure exactly, between 2-3
Not sure exactly, between 4-5
Not sure exactly, between 6-12
Not sure exactly, between 13-24
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PediatricPlus, great! Do you require a CA EMSA sticker?* This field is requiredCA EMSA Stickers apply to Child Care Providers, Bus Drivers, and other professions as required under Title 22.
Yes - I'm a child care worker
Yes - I'm a bus driver
Yes - Other
No
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Since I require an EMSA Sticker, I understand that my class must include 4 hours of CPR and 4 hours of First Aid (8 hours total).* This field is requiredThe 8-hour class is required for both initial and re-certification classes.
Yes
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I would like our 8-hour class to be:* This field is required
From 9:00 am - 5:30pm with a 30 minute lunch
Split up - 4 hours of First Aid one day, and 4 hours of CPR another day.
Not sure.
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Which population should your class be tailored to?* This field is requiredWho are you most likely to apply your skills to? -- Choose as many as apply -- If you are unsure, select "General Population"
General Population
Mental Health
Intellectual Disabilities
Long-Term Care
Medically Fragile
Children
Elderly
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SCHEDULING
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Which class layout do you prefer?* This field is required
Entirely onsite
Blended online with onsite skills verification
I'm not sure
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When completing a blended program, all students will need to fully complete the online portion before the onsite skills verification can take place.* This field is requiredIt is best to complete the online portion within 5-10 days so the information is fresh for the skills verification.
I understand.
I have some questions
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What are you questions/concerns about the blended training?
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What type of workbook and certification do you prefer?DIGITAL: Book can be downloaded as a pdf file to most devices | Certification is always available online; can be printed and saved to any device // PHYSICAL: Book and certification are physical | Copies of certification can be made. (+ $6/book)
Digital
Physical
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Select your preferred training days and start times belowExample: Mark if the first box if you'd like to start the class on a Monday at 8am
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Let us know if you have a particular date in mind:
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Additional comments or questions:
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How did you hear about Hands Down CPR?* This field is required
Web Search
Post-Card
From a friend
Facebook
Cal eProcure
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