Fill out the form below to request a live virtual training for your groupPlease enable JavaScript in your browser to complete this form.Please only fill out this form is you are ready to book your class *I understandIf you simply want more inforation or have questions and are not ready to book a class PLEASE do not fill out this form. Instead email us at support@petemergencyacademy.comName of contact person *FirstLastPhone *Email *Name of Business or Organization Requesting the Class *Business/Organization AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlease provide three options of dates and times (with you preferred date listed first) that work for your group. *DateTimeDate / TimeDateTimeDate / TimeDateTimeLive Zoom classes are able to be scheduled any day of the week including weekends as long a certified instructor is available. We do our best to accommodate your preferred date and time.How many people do you expect to attend the class. *Your group and its attendees are required to have a way for your participants to view the presentation and interact with the instructor. Please check off each of the items below verifying that your participants will be prepared with the appropriate equipment and supplies *Smart device ie iPhone, android phone, tablet, etc or computer with webcamAdequate, stable internet connectionMicrophone or audio device either through the smart device or computerSpeakers or ear phones to hear the presentationStuffed animal to practice CPR on if hosting a CPR trainingCheck which type of class you would like to host. (Choose only one per class request) *Canine and Feline CPR and First AidCanine and Feline CPR and Advanced Life Support (veterinary staff only)Equine Emergency First AidWilderness First Aid for DogsWe are proud to participate in the American Association of Veterinary State Boards RACEtrack program. Credentialed veterinary technicians wishing to receive RACE approved CEU from the class must create a free RACEtrack account with the AAVSB before CEU can be issued. *I will make sure my staff creates their RACEtrack accountsWe are not a veterinary facility and do not have vet techs on staffHow did you hear about us? *FacebookTwitterInstagramInternet SearchFaxEmailFlyerWord of MouthOtherProvide any other information you would like us to know. *Submit
