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CPR & First Aid Training Interest Form

Please complete this quick form to receive information about upcoming classes, pricing, and special offers.

Contact Information

Full Name

Phone Number

Email Address

Training Interest

Which certification are you interested in?

CPR Certification Adult CPR Infant CPR First Aid/AED BLS (Basic Life Support) Not sure yet / Need guidance

Why are you interested in training?

Job requirement School requirement Personal knowledge Parent / caregiver needs Workplace/team training Other

When are you looking to get certified?

ASAP Within 2 weeks Within 1 month Just exploring options

Additional Services

Are you interested in any of the following additional services?

Fingerprinting Notary Services Drug Testing Not at this time

When would you need this service?

ASAP Within 1–2 weeks Just exploring

Follow-Up Preferences

How would you prefer we contact you?

Call Text Email

Are you interested in group or workplace training?

Yes, for my business/team No, individual only Maybe / Need more info

Would you like to receive special discounts or updates on upcoming classes?

Yes, keep me updated

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Stay Prepared CPR & First Aid
Empowering individuals, families, and professionals with life-saving skills through certified CPR, BLS, and First Aid training.

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Mornings by appointments
Evenings from 4pm to 8pm
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Contact

510-200-1008
staypreparedcpr@gmail.com
Fairfield, CA 94533

20% Veteran discount

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510-200-1008
staypreparedcpr@gmail.com
Fairfield, CA 94533

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20% Veteran discount