American Red Cross
Red Cross Presentation Request Form
To request a Red Cross presentation for your group, please fill out the form below. We apologize that we may be unable to fulfill requests for events that are submitted less than 3 weeks in advance or with fewer than 20 attendees.
PLEASE NOTE: THIS REQUEST FORM IS FOR GROUPS IN COLORADO AND WYOMING.
* indicates required field
Type of Audience:
Select Audience
School or Youth Group
Business
Community Group, Club or Church
Select Your Presentation:
To schedule a group CPR, First Aid or AED training, please call (303) 607-4741.
*
Select Presentation
Introduction to Ready Rating: Preparedness for Businesses, Schools & Organizations
"Be Red Cross Ready" Individual Preparedness Training (1 hour)
The Pillowcase Project (disaster preparedness for grades 3-5)
"Thank You From the Red Cross" (for fundraisers)
The Red Cross: Down the Street, Across the Country & Around the World (overview & recent disasters)
International Humanitarian Law
Tour of Red Cross Regional HQ - 444 Sherman St., Denver
Name of Group Requesting Presentation:
*
Name of Contact:
*
First
Last
Email
*
Phone Number
*
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Preferred Event Date
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MM
/
DD
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YYYY
Requested Start/End Time of Red Cross Presentation:
*
Is This Date/Time Flexible?
(Flexibility of scheduling results in a greater likelihood that we can match a volunteer ambassador to your request.)
Yes
No
Event Location: (Must be in Colorado or Wyoming)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Curacao
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Estimated Number of Attendees
*Due to limited resources, the Red Cross may have to decline events with fewer than 20 attendees.
Check All Resources That Will Be Available On-Site to Our Presenter:
Computer-friendly Projector & Screen
Podium
Laptop or Computer Connected to Projector
Microphone/amp
Copy Machine (for handouts)
Additional Details or Comments:
Do Not Fill This Out