432.217.9119

Course Request

Fill out this form if you looking for a course not scheduled or to schedule training at your Organization/Business.

Course Request
Are you looking for individual training or for a Group? *
Choose the option that best describes your needs.
Do you require a written exam? *
** May be required by State Law or Employer, please verify if you need this.
What type of Class would you like? *
Which category of training are you looking for? *
Select all that apply, this applies to the age of the person being treated for example do you want Adult CPR or Infant and Child First Aid, etc.
Which Modules would you like included? *
Choose all that apply ** Requires at least First Aid or CPR Options
Would you like to purchase any materials or accessories?
Please check all that apply, we will provide an estimate based on the number of students you provided for class materials. First Aid Kits and CPR Masks will have a qty of 1 unless notated in the Quantity box (check the box then add the number you would like to order).
This section applies to Organizations/Businesses only
Address *
Address
Address 1
Address 2
City
State/Province
Zip/Postal
Provide the address where you would like the training to take place
Please enter the total number of students that will receive certifications.
This does not guarantee the date chosen but is used as a guide. Please provide at least 2 weeks notice if possible, otherwise an expedite fee of $150 may be assessed.
Would you like to require a written exam? *
** May be required by State Law or Employer, please verify if you need this.
How will the classes be paid for? *
Is this training for EMS, Health Care or other First Responders? *
There are varied courses that may apply if your organization is in the Health Care Industry
Provide any additional details to help us facilitate your training.