If you have a group of employees that need to get CPR certified please fill out the following form for a customized quote.

NOTE: This form is for companies that would like to train their employees via accredited online certification programs.

Company Name

Contact Name

Contact Phone (with ext.)

Your Email

Primary Courses you're interested in (select all that apply)

Adult, Child, and Infant CPR/AED & First AidAdult-Only CPR and AEDAdult-Only CPR/AED and First AidHealthcare Provider (BLS / BCLS) Adult, Child, and Infant CPR/AEDHealthcare Provider Adult / Child / Infant CPR/AED (BLS) & First Aid

Additional Courses you may need (select all that apply)

Bloodborne PathogensBloodborne for Body ArtHazcomHIPAAOffice ErgonomicsWorkplace ErgonomicsHealthcare ErgonomicsSexual Harassment

Number of Employees to Be Trained

Implementation Date

Additional Notes / Information about your company