Restart a Heart Day 2018 Participant Information

Restart a Heart Day events will be taking place all over the UK on 16 October 2018

Please use this form to tell us about the Restart a Heart activity you are planning. After the day, we will be in touch via the email provided to confirm exact numbers taught.

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* 1. Organiser contact details

Name *

Organisation

Email Address

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* 2. Please select which county your organisation is in

If 'Other', please state location

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* 3. Are you planning your activity in partnership with any of these organisations?

Regional Ambulance service

British Heart Foundation

St John Ambulance

British Red Cross

Other first aid training provider

Medical School or Resuscitation Training Department

Other

None of the above

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* 4. How many people do you expect to train on or around 16 October 2018?

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* 5. Your personal information is important.

Read our privacy notice for more information on how your data will be stored and used.