Group Training Request Form
Please complete the form below and one of our training specialists will respond with more information.
*
All fields are required
Name:
Company:
Phone:
Fax:
E-Mail:
Address:
City:
Province:
Select Province
ON
AB
BC
MB
NB
NL
NT
NS
NU
PE
QC
SK
YT
Postal Code:
Country:
Canada
Level of training:
CPR-C/AED (4-5 Hours)
CPR-BLS/AED (5-6 hours)
Emergency First Aid & CPR-C/AED (8 hours)
Standard First Aid & CPR-C/AED (16 hours)
Emergency First Aid & CPR-BLS/AED (8 hours)
Standard First Aid & CPR-BLS/AED (16 hours)
Recertification (CPR 4 hours, SFA 8 hours)
I'm Not Sure
Number of Students:
Please Select One ----->
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Number of Groups:
Please Select One ----->
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total number of students:
Certification Timeline:
ASAP
3 Months
6 Months
1 Year
Prefered Dates:
Prefered Start Time:
Additional information: