CPR, AED & First Aid Certification Inquiry Form

Thank you for your interest in CPR, AED & First Aid Certification through Destination Aquatic Training.

Please complete the form below so we can provide information about upcoming courses, group training opportunities, pricing, and certification requirements. We will contact you within 1 to 2 business days.

Full Name

Email

Phone

Organization Name (if applicable)

Which certification are you interested in?

CPR/AED

First Aid

CPR/AED & First Aid

Not Sure Yet

Approximately how many participants will need training?

Preferred Training Format

In Person

Blended Learning (Online + Skills Session)

Either Option

When would you like training?

Training Location Preference

At Your Facility

At Destination Aquatic Training Location

Not Sure Yet

Preferred Course Date

Additional Questions or Comments

Preferred Location

How Did You Hear About Us?

Additional Information

Additional Questions or Comments

I understand that submitting this form does not guarantee enrollment and that a Destination Aquatic Training representative will contact me regarding course availability and registration

WHY GET
CERTIFIED?

MEET YOUR INSTRUCTOR
Dr. Lakina Moseley

✔ American Red Cross CPR/AED & First Aid Instructor

CPR, AED & First Aid Certification Inquiry Form

WHY GET CERTIFIED?

MEET YOUR INSTRUCTOR Dr. Lakina Moseley

✔ American Red Cross CPR/AED & First Aid Instructor

CPR, AED & First Aid Certification Inquiry Form

WHY GET
CERTIFIED?

MEET YOUR INSTRUCTOR
Dr. Lakina Moseley