Group Class Form | Idaho CPR+

What class are you interested in for your group? (add 10% discount for 16 or more students) Required

CPR/AED Adult Only ($55 offsite or $50 onsite- approx. 1.5 hours)

CPR/AED Adult/Child/Infant ($60 offsite or $55 onsite - approx. 2 hours))

CPR/AED Adult Only + First Aid ($65 offsite or $60 onsite - approx. 3.5 hours)

CPR/AED Adult/Child/Infant + First Aid ($70 offiste or $65 onsite- approx. 4 hours)

Pediatric CPR/AED + First Aid ($70 offiste or $65 onsite - approx. 3.5 to 4 hours)

BLS Renewal (must provide current AHA certification) ($54 offsite or $49 onsite - approx 2.5 hours)

BLS Initial Provider ($58 offsite or $53 onsite - approx. 3.5 hours)

Bleeding Control ($20 offiste or $15 onsite- approx. 2 hours)

Other:

If other, please tell us what class you are interested in.

Approximately how many students/employees in your group will be taking the class?

(For larger group of 9 or more students). Are you interested in having the entire group scheduled at one time, separate days, or are you able to consider back-to-back classes on the same day? (For example, 9 students, then a break, and then a second session for the remaining students).

Prefer that everyone take the class at the same time

Prefer large group (over 9 students) take the class on different days

Interested in large group (over 9 students) to take back-to-back classes on the same day

Please provide a specific date that you would like your class. We may not be able to schedule if class request is within the next 30 days, however we will still try to accomodate depending on instructor availability.

Please provide a 2nd choice date if we are unable to find an instructor/s for your first date choice

What is a preferred start time? (We typically start off-site classes at 10 am or later, however we will consider an earlier start time)

Are you interested in this class taking place at your facility/location or a private class held at our facility? (off-site travel fees may apply) Required

My facility

Idaho CPR Plus facility - 3669 W. Wright Street, Boise

(If answered “My facility” above) Does your facility have a large enough room for spreading out on the floor for CPR manikin practice for all of the attendees in your group? If yes, will you ensure that the floor is reasonably clean for our equipment?

Yes

Unsure

Is your facility a business address or private residence? (We do not teach at private residence locations, you will need to have your group scheduled at our facility if you mark Private Residence below). Required

Business Address

Private Residence

Is your company tax exempt? Required

Yes (You will need to submit an ST-101 form with payment)

Contact Name

Phone Number

Business Name/ Group Name

Business Address

Class Location Address (If at your facility and different from your business address).

Thank you for submitting!

Group class requests will be responded to on Tuesdays and Thursdays.

Group Class Questionnaire