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American Heart Association®
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BLS - Basic Life Support
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General Questions
I have a question about a course
I did not receive my AHA course completion card
I would like a quote for a class at my location
I would like to set up a corporate voucher
I need coverage for an event
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Name
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*
Phone
Email
Email address
*
Phone Number
*
Select The Course You Are Requesting
*
Basic Life Support CPR/AED (BLS)
CPR/AED (Heartsaver CPR/AED)
First Aid/CPR/AED (Heartsaver First Aid/CPR/AED)
Safe Sitter (Babysitting Course)
Do you want to include child and infant CPR & Choking managment?
*
Yes
No
How Many Students (Approximately)
*
Requested Class Date
*
Your selected date will be temporarily reserved for you while we review and prepare your quote.
Preferred Start Time
*
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
Do you have an AED at your location?
*
Yes
No
No sure
Would you like a quote to puchase an AED?
*
Yes
No
Are you a new client?
*
Yes
No
Not Sure
Organization Name
*
Billing address
Optional - we can pick this up when we invoice.
Billing city
Billing state
Billing ZIP
Organization Billing Address
*
Organization Billing City
*
Organization Billing State
*
Organization Billing Zip Code
*
What is the event?
*
A short name is fine - we use it on the schedule and on the crew calendar.
Event date
*
If this is a series, give us the first date and list the rest at the bottom.
Coverage starts
*
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM
10:00 PM
10:30 PM
11:00 PM
11:30 PM
Coverage ends
*
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM
10:00 PM
10:30 PM
11:00 PM
11:30 PM
Venue or facility name
*
Venue street address
Optional if the venue name is well known.
Venue town or city
*
Venue ZIP code
*
The ZIP is what we use to work out travel.
About how many people will be there?
*
Your best estimate is fine - it helps us size the crew.
How many EMTs do you need?
*
1
2
3
4
5 or more
Not sure
Not sure is a fine answer - we will recommend a number.
Who will the crew meet on site?
Their cell number
Will food be available for the crew?
Not sure yet
Yes, we will feed the crew
Yes, at a reduced rate
Vendors or a cafe on site, the crew pays
No, please have them bring their own
Where should the crew be posted?
Not sure yet
In the event area with the crowd
A separate medical room or area
Roving the site
Other dates in this series
One date per line, like 11/14/2026. Leave blank for a single event.
Which classes should the voucher cover? (check all that apply)
*
Any of our public classes
BLS (Basic Life Support)
Heartsaver CPR/AED
Heartsaver First Aid/CPR/AED
ACLS
PALS
EMT or AEMT
What should the voucher cover?
*
Course fee only. Students pay for their own textbook, shipping, and any add-ons.
Everything at checkout, including the required textbook, shipping, and add-ons.
We invoice your organization for whatever the voucher covers after each student enrolls.
Billing or accounts-payable contact (name and email, if different from you)
Your title or role
Will the class be held at this address?
*
Yes, at the address above
No, at a different location
Class Location Zip Code
*
Your quote includes instructor travel - the ZIP lets us calculate it accurately.
Class Location Street Address
Optional - you can provide this later.
Class Location City
Optional
Message
Matched company (lookup)
Match confirmed (lookup)
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AHA® Courses (CPR, FA, etc)
AHA® Online Course Skills Session
ACLS
BLS - Basic Life Support
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Heartsaver® First Aid/CPR/AED
PALS
AHA® PALS/ACLS PRE-TEST
EMS Courses
EMT - Initial Training
AEMT - Advanced EMT
Safe Sitter®
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