JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
On-Site Group Training Quote Request (Spanish Class)
NOTE:
Unless otherwise stated, training and written material are provided in Spanish only. Spanish comprehension is required to receive a certification card for a Spanish only class.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Contact Person's Name
*
Your answer
Contact Person's Email
*
Your answer
Contact Person's Phone Number
*
Your answer
Company or Group Name
*
Your answer
South Texas city where training will be held
*
Your answer
Desired date and time of training
*
Exact date and time or approximate time frame
Your answer
Number of persons to be trained
*
Your answer
Spanish language CORE classes
Please select the core class you are interested in.
*
Basic Life Support (BLS) Provider: FOR HEALTHCARE PROFESSIONALS. Covers adult, child, and infant CPR. 3.5 hour class. Mandatory written exam.
CPR and First Aid (for non-healthcare professionals): 4.5 hour class for a adult, child, and infant CPR. 3.5 hour class for adult only CPR
CPR AED (for non-healthcare professionals): 3.0 hour class for adult, child, and infant CPR. 1.5 hour class for adult only CPR
Pediatric First Aid CPR AED (for childcare providers and Foster Parents): 4.5 hour class
Required
Spanish language ADD-ON classes
These are not stand alone classes. They may be added to your selected core class.
Please select the add-on class you are interested in (if any).
FREE ADD-ON CLASS: Stop The Bleed (advanced bleeding control) 1.5 hour class
FREE ADD-ON CLASS: Naloxone administration for opioid overdose. 15-30 minute class (Receive a FREE Naloxone kit with two doses of Naloxone)
Bloodborne Pathogens: 1 hour class
Our group requires the following certification:
*
American Heart Association (AHA)
American Red Cross (ARC)
Health and Safety Institute (HSI)
The most economical
We do not require certification. Training only.
Contact us to discuss the best option for our group
Does your facility have an AED? If so, what make?
*
Zoll
LifePak
Cardiac Science
Phillips
Defibtech
HeartSine
Avive
Other
We do not have an AED
NOTE:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of RGV CPR.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report