Contact us.ManchesterCPR@gmail.com(860)474-373475 Center St.Manchester, CT 06040 Name * First Name Last Name Phone * (###) ### #### Email * Class Type * AHA Heartsaver CPR AHA Heartsaver CPR & First Aid Classes AHA Basic Life Support CPR Healthcare Medication Administration (EpiPen Auvi-Q) Emergency Medication Epinephrine Autoinjector Childcare Provider class approved by OEC Pediatric First Aid CPR Pediatric CPR Short Customize class not needed for work What is your Profession or your Employer's / Company name? * Size of class you are inquiring about * 1 student private class 2 students private class 3-4 students semi private class 5-9 students 9-12 students 12-18 students 18-27 students 28-36 students over 37 students Average age of student/s * under age 13 require written guardian permission 6-9 years old (rec guardian / staff present during class) 10-13 yrs old 14-17 yrs old 18 - 26 young adult / college student adult older adult (over 75) possible eligible for senior discount choose not to give details, I am over 13 years old dead line class must be completed by * MM DD YYYY When do you want to have this class? Time & Day of the week. * M, W, F weekend class can start as early as 7:30am or as late as 5:30pm What month do you want this class conducted in January February March April May June July August September October November December What Address you want this class to be located. Main location is 75 Center St. 2nd floor of Fire Station . Possible travel fee. * Address 1 Address 2 City State/Province Zip/Postal Code Country Do you have any other questions? Thank you! Your inquiry will be reviewed, and a representative will respond to you shortly!
