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Request CPR or Bleeding Control Class

  1. Contact Information for the Person Requesting

  2. Class being requested

  3. Type of request*

  4. Group or organization details

    The following information is only needed if you are requesting an event for a group or organization

  5. If you need GJFD to provide a training location, simply type "GJFD" for location.

  6. Describe your availability for classes with dates and times, or days of the week and times as is appropriate to your group.

  7. Leave This Blank:

  8. This field is not part of the form submission.