Breath for Life (First Aid Education) Inc
“First Aid & CPR Training in Edmonton and Area”
breathforlifeinc@shaw.ca
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Babysitting Course Registration Form
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Important Notice to the Parent/Guardian: - You must sign in and sign out your child when you drop off and pick up your child - Please make arrangements for the day that does not involve your staying at Breath for Life.
Before you register into this course please review the address information in the box below and acknowledge that you understand where the course is located.
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Yes
Breath for Life is located at 4443 - 99 St. Edmonton, Alberta T6E 5B6. Google maps is accurate in terms of this location. We are located just north of Whitemud Drive off the 99 St Ramp.
I am interested in taking a babysitting course
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Yes
I agree to allowing my child, if over the age of 14 years, to sign themselves in and out of the course without a legal guardian present.
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Yes
No
As the person registering a child into this course, I have checked my schedule and the participant's schedule (child) to ensure that there are no conflicts in schedules. Please do not register until you are sure.
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Yes
I accept that if I am running late to drop my child off, and the door is not answered because the course is in session, thereby not allowing the child entry into the course, you accept the consequence of a loss of fees. Your child must be on time to be allowed into this course.
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Yes
The Breath for Life office does not take calls during participant entry into a course as the priority is to those who have shown up on time. You may email the office about your child being late, but it will be to the discretion of the instructor to allow your child into the building. Depending on how late your child is, access into the course may be denied. Make it your priority to be on time.
I agree that I will pick up my child at the time specified by the teacher when you drop off your child.
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Yes
Pick-up time will be clarified when your child is dropped off. If you are dropping off a child, and you are not the same person who will be picking-up the same child, you must inform the responsible person of the pick up time. This is imperative as Breath for Life is not a daycare.
If you would like to share any relevant information about the child who will be attending this course, please enter it here (eg. medical conditions, mental health challenges, behaviors, etc)
Our goal is to help your child succeed.
Choose course date
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- Select Your Course Date -
September 13: Sunday - 9AM - 4PM - Breath for Life’s Training Facility
September 30: Wednesday - 9AM - 4PM - Breath for Life’s Training Facility
October 19: Monday - 9AM - 4PM - Breath for Life’s Training Facility
October 24: Saturday - 9AM - 4PM - Breath for Life’s Training Facility
November 16: Monday - 9AM - 4PM - Breath for Life’s Training Facility
November 29: Sunday - 9AM - 4PM - Breath for Life’s Training Facility
Please carefully check the above date and confirm that it is correct by entering the date and time in the space provided here.
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Any discrepancy in the above date that you have chosen and the date entered here, will automatically default to the date you have chosen and no accommodations will be made around this discrepancy.
I am confident that I have selected the correct date and course.
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Yes
Enter Child's Birth Date
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To take this course your child must be between the ages of 11 and 15 inclusive or have completed grade 5.
Name of person taking the course: Registrant's Name
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First
Last
This must be the child's legal first and last name.
Parent/Guardian Full Name
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First
Last
This must be your legal first and last name.
Address
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Street Address
City
State / Province / Region
ZIP / Postal Code
Emergency Phone Number
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Parent's Email
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This email will be used to send you the course information and receipt. Please also check your spam or junk folder if the email does not appear in your inbox.
As the person registering the child into this course, if you took a previous Red Cross Course and have a Red Cross account, it is mandatory that you provide an email that will define the child's account that is separate and distinct from your own. The box below requests an email which the Breath for Life Inc office will be use to create the child's account. If you provide your email address, and have a Red Cross account, your name will appear on the child's Babysitting Certificate. If this happens, Breath for Life Inc will not be able to intervene to correct this and it will be up to you to contact the Red Cross to make the necessary change.
What email will be associated with your Child's Red Cross Account?
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If the parent/guardian has a Red Cross account and places their account email in this space, this email defines whose name appears on the certificate. Understand, your name will be on the Babysitting Certificate and Breath for Life Inc has no way of changing this. Please be proactive by providing an email that will be specific to the child. Thank you.
I confirm that the email provided, is not shared by any other individual who holds a Red Cross Account.
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Yes
Breath for Life Inc will not question this and if your child's name does not appear on their certificate, it will be your responsibility to contact the Canadian Red Cross to make the necessary corrections.
You can be proactive by setting up a Red Cross account for the child. If you do not want to set up the account, Breath for Life Inc will do this on behalf of the child. The Canadian Red Cross will issue the certificate to the child's Red Cross account a few days after course completion. You may set up this account by following these directions:
Set up Account
. If you have a pre-existing account use the following link to access your account:
Access Your Red Cross Account
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Babysitting Course ($70.00 Including Manual + GST)
Price:
Total
Please read the
Policies
governing this course. Breath for Life
commits to delivering the course
that you register into. Breath for Life thanks you for your patronage.
I have read and understand the policies.
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Yes
I am the card holder and I am registering and paying for a child to attend the Babysitting course. Enter your name as it appears on the credit/debit card in this box.
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It is understood that the child does not have a credit card and you are the person paying for this course.
What is the name of the child that you are registering and paying for?
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Legal first and last name.
What is your relationship to the child you are paying for?
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By entering your name in the space provided, representing the cardholder and/or the registrant or the registrant borrowing someone else’s credit card, you accept the terms and conditions of the policies around your registration into this course. By entering your name in the space provided you are entering into a contract with Breath for Life. As Breath for Life’s goal is to never cancel courses, which you as the registrant would expect when you pay for this course, if you require to step outside of the contract (eg.: reschedule and/or cancel, miss your course, are late, etc ), the terms and conditions of the policies which you agree to will be used to guide decision making, in a fair, consistent and neutral way.
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First
Last
This must be your legal first and last name.
I Would Like to Pay for this Course
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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).
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Yes
Total
Credit Card
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CAPTCHA
You must complete the captcha and then press submit. When you press submit you will see a turning circle. This means that your payment is being processed. Please allow time for processing and do not exit out. Thank you.
Please be patient while your transaction is being processed. Do not exit until you have received 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.