Request a Course

First Name *

Last Name *

Organization/Business Name

Email *

Phone *

Are you looking for individual training or for a Group? *

Individual

Organization such as a Church, Scout Troop, etc (Non Profit)

Business (employees needing trained)

Choose the option that best describes your needs.

Do you require a written exam? *

Yes

No

** May be required by State Law or Employer, please verify if you need this.

What type of Class would you like? *

Instructor Led

Blended (Online/Instructor Led)

Online only

Which category of training are you looking for? *

Adult (Generally 12 years and older)

Child (Generally 1 to 12 years old)

Infant (Generally less than one year old)

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?

Participant Manuals - $11.99/ea

Adult First Aid/CPR/AED Ready Reference - $3.95/ea

Pediatric First Aid/CPR/AED Ready Reference - $3.95/ea

Adult/Child and Infant CPR Mask - $12.95/ea

Deluxe First Aid and CPR Training Student Kit with CPR Keychain Face Shield and Gloves - $6.95/ea

My Medic Solo Basic First Aid Kit - $50.00

My Medic MYFAK Basic First Aid Kit - $120.00

My Medic Recon Basic First Aid Kit - $250.00

QuantityQuantity

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).

What Course Date are you looking for? *

What location are you closest too? * What location are you closest too?

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

How many students do you have? *

Please enter the total number of students that will receive certifications.

What date would you like to schedule the training?

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? *

Yes

No

Not Sure

** May be required by State Law or Employer, please verify if you need this.

Is this training for EMS, Health Care or other First Responders? *

Yes

No

There are varied courses that may apply if your organization is in the Health Care Industry

How will the classes be paid for? *

Organization/Business will pay

Individuals will pay