RescueTechs Course Inquiry Form

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Name *

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City *

State *

Department/Agency Name *

What is your role within your department? *

Contact Phone Number *

Contact Email *

Email

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Course Information Requested (Check all that apply) *

Basic/Operations Level Vehicle Rescue
Advanced/Heavy Level Vehicle Rescue
New Vehicle Anatomy & Technology
Vehicle Rescue Refresher
Vehicle Winching, Lifting, & Moving
Farm Emergency Awareness
Farm Tractor/Machinery Extrication Training
Farm Silo Firefighting
Grain Bin Rescue Training
Emergency Medical Services-Specific Training
We would like to discuss customized training programs. Please specify topics in the Comments section below.
Other Vehicle or Farm/Ag Training Please specify the topics in the Comments section below.

Approximately how many students would be participating in the training? *

Most RescueTechs programs are set-up for 20-25 students, although some of our awareness level programs can accommodate more students.

Additional Comments/Questions