Group First Aid Registration

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Please correct the field(s) marked in red below:

Thank you for requesting information on an ACT First Aid workshop for your group of 20 or more. If your group has less than 20 participants, please sign up for our regular monthly class. Requests should be made at least three weeks (21 days) in advance.
1
Your Name
2
Name of your group
 *
3
Email address
 *
4
Phone number
 *
5
Best date and time for group presentation:
 *
6
This date and time is for:
This date and time is for:
7
Meeting location (note: we will need 3-4 tables)
 *
8
Number of participants expected
 *
9
Please provide any additional information about your group that would be helpful for us in planning your presentation.
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