CRR Special Request Registration

Step 1 of 2

This form is for any requests from organizations that are not tours, fire engine visits, or CPR certification courses.

Please select the following most applicable to what is desired. Please note, these typically can be anywhere from 20-60 minute, unless otherwise stated, with most being scheduled for 30 minutes.

Please select which topic(s) you would like to learn about

* Fee associated with this topic

You have selected other, please describe below

Group/Organization Name

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Approximate number of participants(Required)

Approximate age/grade of participants (If applicable)

Please share your preferred dates and times, as well as any additional scheduling details.(Required)

Helpful information includes preferred month, day(s) of the week available, time of day preferred, dates/times you cannot accommodate, etc.). The more information you provide, the better we can match your request.

For classes, we will need a room adequate for a presentation and possible hand-on activities.

Please share any questions, comments, additional information, or participant accommodations that will help us best support your group:

CRR Special Request Registration

From the Chief

CPR and First Aid Classes

Contact Information