Schedule Classes - Rescue Ready Indiana

Name

First Last

Email

Phone

Address

Street Address City State ZIP Code

COURSE TYPE

Number of Students

For single students we prefer to do a heartcode hybrid course, this involves you doing the course online at home or work and then meeting us for a skills check off. are you okay with this?

Yes

No

PLEASE GIVE US 3 PREFERRED DATES/TIMES FOR YOUR COURSE

Date and Time 1

Date and Time 2

Date and Time 3

We will contact you by the days end via email or text if this form is submitted Monday-Friday. We will respond within 24 hours on the weekend/holidays. If you need immediate assistance please call us!