Take a Class! join our team! 
Havoc USA Logo Full Color
havoc usa

class registration form

Use this form to register for all available training classes. Incomplete forms may result in your registration being deleted and/or your services being delayed. Once we receive your request, we will contact you to confirm the details and process your payment.
I would like to register for a training class. A CHECK IN THE BOX IS REQUIRED TO REGISTER
First Name Last Name Phone E-mail Company or Organization
Select a prescheduled class date or request an alternate below. NOTE* If you are requesting a class on your company's site, please use the alternate date block. Registration is locked 5 business days before start date.
September 22, 2024 - Adult Child Infant CPR AED First Aid - $65 per person - CLOSED
October 2, 2024 - Adult Child Infant CPR AED First Aid - $65 per person - CLOSED
October 19, 2024 - Adult Child Infant CPR AED First Aid - $65 per person - CLOSED
November 5, 2024 - Adult Child Infant CPR AED First Aid - $65 per person - OPEN
November 10, 2024 - Adult Child Infant CPR AED First Aid - $65 per person - OPEN
November 13, 2024 - Adult Child Infant CPR AED First Aid - $65 per person - OPEN
The above dates don't work for me. I want to schedule a different class date. Your 2ND proposed alternate date What class do you want to schedule?
How many participants will you have? Select one
Individual or Self
Group (2-7 people) List full names of all participants in comments
Group (8-12 people) List full names of all participants in comments
Group (13+ people) List full names of all participants in comments. Training will be scheduled on two separate class dates.
Class location. Select one
On my site (must have amenities listed below)
Select a site for me
Other (Please specify details in comments)
If you are scheduling at your site, does it have the following amenities available? These are the minimum requirements. Check all that apply
Tables/Desks/Chairs
Television with HDMI ports
Classroom or Conference Room
Working restrooms
External speaker (Only if TV doesn't have one)
HDMI cable at least 20 feet long
I would also like to schedule the following services. Check all that apply.
Nothing at this time
AED/First Aid Kit Inspection
Emergency Action Plan Consultation
Facility Security Plan Consultation
New AED/First Aid Kit Site Survey
Emergency Action Plan Design and Build
Facility Security Plan Design and Build
AED/First Aid Kit Installation
Fire Extinguisher Mounting
Monthly Fire Extinguisher Inspection
Emergency Signage Design and Print
Emergency Signage Installation
Security Camera Site Survey and Consultation
Security Camera Installation
Door Security Upgrade
Window Security Upgrade
Door Lock Installation
Gun/Fire Safe Installation
Gun/Fire Safe Transportation
Hidden Safe Installation
Flag Pole In-Ground Installation
Flag Pole Wall-Mounted Installation
Radon Mitigation System Installation
New HAZMAT Cage Construction
HAZMAT Cage Repair
Murphy Door Installation
Personal/Home Defense Consultation
Other Service or Installation
Onsite Project Bid
Phone Project Bid
I also want to purchase the following equipment. Check all that apply
Nothing at this time
AED Wall-Mounted box
AED
CPR Mask Kit (Reusable)
CPR Mask Kit (Disposable - Keychain)
TACPAC Emergency Kit
Additional Comments Submit