Breath for Life (First Aid Education) Inc
“First Aid & CPR Training in Edmonton and Area”
breathforlifeinc@shaw.ca
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Multiple Registration Form – BLS Provider
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Must Knows Before You Register using this Form
Please Forward the Relevant Information to those individuals who You Will be Registering into this course and who will be Attending this Course at Breath for LIfe
Breath for Life’s address is 4443 – 99 St.
Entrance is the back door.
Ensure you communicate the date and start time of the course. Late arrivals will be given a small window of opportunity to show-up.
Entry will be at the back door; our foyee is at the back entrance of the building
Parking stalls are at the front and back of the building and along the road on 44th and 45th Ave.
For unknown reasons, emails sometimes end up in junk or spam. Please check this folder for your Confirmation/Receipt from Breath for Life, and/or information from the Red Cross.
Know the email that you provide when you enter it within this registration form. This is the default email that will be used to send you your official confirmation/receipt from Breath for Life. If there is an email input error, you will not receive an email.
Please bring indoor footwear: slippers, socks, comfortable and clean indoor shoes. Footwear worn outside must be removed as we endeavor to keep our facility clean, safe and comfortable for all who register into a course.
Please avoid using perfumes and colognes that may trigger an asthmatic attack. A medical emergency occurred recently for which EMS had to respond: this event could have been avoided.
Please bring to your course the following: paper, pens, snacks, beverages etc.
Please dress comfortably in modest attire.
Please carry a smile and a friendly greeting to those who you will meet and greet you at Breath for Life.
If you require support setting up an account (account setup is mandatory to receive a certificate) or do not know how to access your account please arrive early so that we may assist you in either creating or accessing the account.
General Course Policies
CANCELLATION/RESCHEDULING POLICY
Please read the
Policies
governing your registration into this Course. Breath for Life
commits to delivering the course
that you register into. Breath for Life thanks you for your patronage.
Consent to Enter into A Contract with Breath for Life
(Required)
I understand and agree to the terms and conditions of this registration which forms a contract with Breath for Life.
I hereby agree that I have read the Policies, which establish the Terms and Conditions of this registration. If any changes are requested, the terms and conditions will be followed if any changes are required.
By entering your name in the space provided, you are entering into a contract with Breath for LIfe, and understand that this contract will be governed by the terms and conditions agreed to.
(Required)
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I Consent to Receiving emails from Breath for Life to receive updates on upcoming courses. Please answer 'NO' if you are not interested.
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Name of Business/Organization
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Please Select Course Date:
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- Select Your Course Date -
July 27: Monday - 5PM - 9PM - Breath for Life’s Training Facility
August 2: Sunday - 9AM - 1PM - Breath for Life’s Training Facility
August 4: Tuesday - 5PM - 9PM - Breath for Life’s Training Facility
August 6: Thursday - 9AM - 1PM - Breath for Life’s Training Facility
August 9: Sunday - 8AM - 12Noon - Breath for Life’s Training Facility
August 11: Tuesday - 9AM - 1PM - Breath for Life’s Training Facility
August 15: Saturday - 9AM - 1PM - Breath for Life’s Training Facility
August 17: Monday - 5PM - 9PM - Breath for Life’s Training Facility
August 21: Friday - 9AM - 1PM - Breath for Life’s Training Facility
August 23: Sunday - 9AM - 1PM - Breath for Life’s Training Facility
August 26: Wednesday - 5PM - 9PM - Breath for Life’s Training Facility
August 28: Friday - 9AM - 1PM - Breath for Life’s Training Facility
August 29: Saturday - 9AM - 1PM - Breath for Life’s Training Facility
September 1: Tuesday - 5PM - 9PM - Breath for Life’s Training Facility
September 3: Thursday - 9AM - 1PM - Breath for Life’s Training Facility
September 8: Tuesday - 9AM - 1PM - Breath for Life’s Training Facility
September 10: Thursday - 5PM - 9PM - Breath for Life’s Training Facility
September 14: Monday - 5PM - 9PM - Breath for Life’s Training Facility
September 17: Thursday - 9AM - 1PM - Breath for Life’s Training Facility
September 19: Saturday - 9AM - 1PM - Breath for Life’s Training Facility
September 21: Monday - 9AM - 1PM - Breath for Life’s Training Facility
September 24: Thursday - 5PM - 9PM - Breath for Life’s Training Facility
September 27: Sunday - 8AM - 12Noon - Breath for Life’s Training Facility
September 28: Monday - 5PM - 9PM - Breath for Life’s Training Facility
September 30: Wednesday - 9AM - 1PM - Breath for Life’s Training Facility
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BLS Healthcare Provider Course
BLS Provider Course
Price:
BLS Manual
Price:
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Course
Course Tax
$ 0.00 CAD
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Enter Zero (0) if no Manuals are purchased.
Manual Subtotal
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I Wish to Pay for My Registration
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Yes
I accept that the purchase of this course will appear as Breath for Life Inc on your credit card statement and that the amount that will appear on your credit card will not be contested as a fraudulent charge (this also applies if you are registering someone else into this course).
(Required)
Yes
I am the card holder and am paying and registering into this course for myself.
(Required)
Yes
No
If yes, please enter your name in the box as it appears on your credit/debit card.
(Required)
I am the card holder and I am paying for the registrant (someone other than myself) to attend this course.
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Yes
No
If yes, please enter your name as it appears on your credit card.
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What is your relationship to the registrant: the person you are paying for to attend this course?
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I am using someone else's credit card and have received permission and their consent to use their credit card.
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If yes, please enter the credit card holder's name in the box.
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What is your relationship to the cardholder: the person who is allowing you to use their credit/debit card to pay and attend this course.
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You do not qualify to take this course as this payment information must be legitimate.
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Please be patient while your transaction is being processed. Do not exit until you receive a thank you notice. If you exit this registration early, because of impatience, and reregister into this course again thinking that this is the correct course of action which may result in a duplicate registration, a service fee of 25% will be charged to issue you a refund on any additional registrations that should not have occurred.