Kane County Training Request Form

Individual members of the general public who are seeking training for themselves should Click Here to view our upcoming community trainings. Individuals who are seeking training on behalf of a community organization, please complete the request form below.

Question Title

* 1. Please complete the contact information form below

Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

Question Title

* 2. What training(s) are you interested in? Select all that apply.

CPR

Stop the Bleed

Narcan

First Aid

Question Title

* 3. Please identify the number of individuals who require training (Max 30 per class)

1-8

9-17

18-26

27+

Question Title

* 4. Anything else we need to know?