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Orange County CPR and First Aid Survey
Orange County CPR and First Aid Survey
Please fill out the form below to be notified for any and all upcoming CPR and First Aid classes as they become available with the Orange County Division of Emergency Medical Services (OC_EMS)
OK
1.
Please enter your contact information.
Name
Address
Address 2
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Email Address
Cell Phone Number
2.
Which type of class are you interested in taking?
Adult, Child and Infant CPR with AED (approximately 4 hours)
Adult, Child and Infant CPR with AED and First Aid (approximately 8 hours)
Hands only CPR with Naloxone Training (approximately 2 hours)
3.
Do you have any other official prior training?
Yes
No
4.
Who are you inquiring about classes for?
Individual
Group
5.
If a group, what kind of group are you?
Family Members
Club or Organization
Co-workers
Other (please specify)
6.
How many people are your expecting to have in your group
1-9 people
10-18 people
19-28
Other (please specify)
7.
Thank you for completing this survey. Your participation has register you to receive information on upcoming CPR / AED and First Aid classes as they become available.
For our current class schedule go to the Eventbrite Website
https://www.eventbrite.com/o/orange-county-div-of-ems-education-61769157453
If there are any other issues or concerns please email SGriffin@orangecountygov.com
There is no other confirmation provided for the completion of this survey.
Current Progress,
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