Request to use CPR Kits
Please fill out the following Google Form to request CPR Kits for your school.  Once your form has been submitted we will work on securing the date(s) you have requested.
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Email *
Your Name *
Your District *
Contact Phone Number *
How many CPR Kits (4 manikins/bag) are you requesting? *
How many AED simulators are you requesting? *
When would you like to utilize the CPR Kits in your school? Please provide 3 dates starting with your first preference. It will be loaned out in week long increments. *
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This form was created inside of Regional Office of Education #3.

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