Registrant Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Enter Email Confirm Email

This email will be used to send your Confirmation/Receipt

Registrant's Email: This email is either associated with my Heart and Stroke account or I want my Heart and Stroke account to be created using this email.*

Please re-enter your email. If you have a Heart and Stroke account attached to your H&S ID please enter that email here. If you are new to the Heart and Stroke, please provide an email that will be used to create your Heart and Stroke account. An account will be set up for you when you attend the course. For Heart and Stroke account holders: Please ensure that the email associated with your Heart and Stroke ID is current and active. Please ensure that you can log into your Heart and Stroke account and the information is up to date. Breath for Life will not be held responsible for updating your account so if needed please contact the Heart and Stroke for any changes that need to be made PRIOR to the course by calling Toll-Free 1 877 473 0333

I am interested in purchasing a BLS manual : 2020 version ($20 + GST) - (Textbooks purchases are final sale)*

Yes ($20.00+GST)
No

(Textbooks are not a mandatory purchase). To claim your book at the course please let us know that you purchased a book by showing us your confirmation/receipt at the course and a book will be given to you. Breath for Life has reduced the course cost and will no longer be issuing loyalty discounts.

I understand that if I have purchased a manual, I will receive it at my course unless I have made special arrangements to pick it up.*

Yes

To arrange pickup you must email breathforlifeinc@shaw.ca, otherwise the manual will be available for you at the course. Please remind Breath for Life staff that you purchased a manual when you arrive at your course.

BLS Course Cost ($70.00 + GST)

If you purchase a manual and wish to pick it up prior to the course please come to the following address: 4443 - 99 St, Edmonton.

Price:

BLS Manual ($20.00 + GST)

Price:

Total

$ 0.00 CAD

Please Note:

Payment must be received in advance to attend this course. Provide debit or credit card information in the payment section below and click on the submit button to complete your registration and payment.

CANCELLATION/RESCHEDULING POLICY

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.*

Yes

By entering your name in the space provided, for yourself or someone else, you accept the terms and conditions of the policies as reasonable, and based on your acceptance you are prepared to pay for this course. Your acceptance of the policies and payment, form a contract between you (the registrant) and Breath for Life. Regardless of whether you decide to read the policies or not, if you require to step outside of the contract, the policies will be applied.*

Please note that these policies are meant to be applied to everyone fairly and impartially if the terms of the contract are called into question or challenged.

I would like to pay for this course.*

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).*

Yes

Credit Card

Card Details

Cardholder Name

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Full Course Title

Hidden

BLS Manual

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“First Aid & CPR Training in Edmonton and Area”

Heart & Stroke BLS Course Registration Form

Step 1 of 2

CANCELLATION/RESCHEDULING POLICY