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Please View our Schedule to choose a new class date
First Name
Last Name
Phone
Email
Requested Class Date
Requested Start Time
Back-up Class Date
Back-up Start Time
Message
Rescheduling Terms
1. I understand that I am allowed to reschedule one (1) time at no additional charge when requested at least 48 hours prior to the class start time.
2. All courses must be rescheduled within
60 days
of the original class date with a maximum of one (1) rescheduled classes.
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Group Training Quote
LOCATION
Orange Country
Los Angeles County
San Bernardino County
San Diego County
Riverside County
Number of Participants
Certification (select all needed)
Adult CPR/AED
Adult CPR/AED with First Aid
Adult, Child and Infant CPR/AED
Adult, Child and Infant CPR/AED with First Aid
Pediatric CPR & First Aid (Perfect For Daycares & Preschools)
BLS / BLS Renewal
Bloodborne Pathogens
Group / Business Name
Requested Class Dates/Times (Please Provide two Options)
Does your Organization Have a TV and DVD Player?
Yes
No
First Name
Last Name
Phone
Email
Training Address
City
Zip Code
Are you interested in purchasing an AED for your organization?
Yes
No
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