Breath for Life (First Aid Education) Inc
“First Aid & CPR Training in Edmonton and Area”
breathforlifeinc@shaw.ca
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CPR Course Registration Form
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Must-Knows before you Register:
This course does not include First Aid. If this is the incorrect course selection please go back into the courses page and reselect the course based on what is illustrated on your Certificate.
Breath for Life’s address is 4443 – 99 st.: we are not located at any other address within Edmonton and have no affiliations with any other First Aid and CPR company in Edmonton or Alberta.
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.
I acknowledge that I have read the above notice
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Yes
Section Break
I wish to register for the CPR Level C Renewal Course
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Yes
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 agree that I will bring to the course my unexpired CPR certificate as proof that this course was taken within 3 years.
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Yes
You may show us your certificate as saved on your cell phone, as a photocopy, etc. Please ensure that the course you are registering into matches what is on your certificate. If you fail to show us your certificate, you will be disqualified from your course with a loss of your course registration fees.
I understand that the course I am selecting is a CPR course only and does not include First Aid.
Yes
If you require both CPR and First Aid please scroll to the top of this page and select the appropriate link.
Proof of a Valid and Current Certificate
Please check your certificate. To take a CPR recertification course means that your certificate is still current (within three years) and not expired. Please enter the date of your certificate expiry in the space provided.
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Your certificate must be current within three years of taking the course and not expired. You will be required to show your certificate at the course.
If your certificate is expired please use the following link to register into the correct CPR course:
CPR In-Class Link
Now that you have checked your certificate, what organization is stamped on your certificate?
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Took with Breath for Life within the Past Three Years
Other: If you have selected 'other' you must upload your certificate or email your certificate to breathforlifeinc@shaw.ca for validation.
If you have selected a provider other than Breath for Life Inc you must send a pic of your cert prior to your course to breathforlifeinc@shaw.ca so that we can verify that you have selected the correct course.
Upload Your Certificate
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Accepted file types: jpg, png, pdf, Max. file size: 12 MB.
Your certificate needs to be validated as there are too many providers that bypass Alberta OH&S governance.
If you did not take your previous course through Breath for Life Inc, which organization did you take your course with?
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Choose Your Course Date
Choose Renewal Course Date
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- Select Your Course Date -
August 19: Wednesday - 8AM - 11:30AM - Breath for Life’s Training Facility
August 22: Saturday - 8AM - 11:30AM - Breath for Life’s Training Facility
August 28: Friday - 8AM - 11:30AM - Breath for Life’s Training Facility
August 29: Saturday - 8AM - 11:30AM - Breath for Life’s Training Facility
Sept 11: Friday - 8AM - 11:30AM - Breath for Life’s Training Facility
September 12: Saturday - 8AM - 11:30AM - Breath for Life’s Training Facility
September 19: Saturday - 8AM - 11:30AM - Breath for Life’s Training Facility
September 20: Sunday - 8AM - 11:30AM - Breath for Life’s Training Facility
September 25: Friday - 8AM - 11:30AM - Breath for Life’s Training Facility
September 26: Saturday - 8AM - 11:30AM - Breath for Life’s Training Facility
September 29: Tuesday - 8AM - 11:30AM - Breath for Life’s Training Facility
You must bring your previous certificate to the course for verification.
To confirm your date and time please enter the Month, day and date of your course (eg. January, 1st; Monday)
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At this point please enter this information into your calendar: if you have an online calendar ensure that it is set to Mountain Standard Time. Also enter the start time of the course into your calendar so that no error around the start time will occur.
I accept that the course selected including the date and time are correct for my needs .
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Yes
Important Notice about Being on Time
I agree that I will make arriving on time a high-priority. Receiving the course you paid for depends on being on time.
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Yes
Start time for this course is 8 AM. For your verification re-enter the course start time.
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Breath for LIfe requires that you arrive before the course start time. Doors open 1/2 hour prior to course start time. When your course is in session the doors will be locked and the instructor will not be interrupted to allow you entry into the course. Please make it a priority to arrive early.
Breath for Life commits to delivering the course you register into. Breath for Life also endeavors to start a course on time with the consideration that there might be some delays when helping students create Red Cross Accounts or gaining access into their accounts. Starting on time matters to most participants registered into a course and arriving late creates a disruption at many levels. Please make it a priority to arrive before 8AM as being late may mean the denial of attending the course you paid for.
I agree to the above
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Yes
Person Taking This Course: Registrant's Name
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First
Last
Address
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Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
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Email
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This email will be used to send your confirmation and receipt.
The Canadian Red Cross will issue your certificate to your Red Cross account a few days after course completion. You may set up this account by following the following 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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Your Red Cross account is defined by your name and email that you use to create your account. You become the account holder. If you use your account to register someone into this course, or are using someone else’s account to register into this course, your certificate will be in the account holder’s name. The Red Cross does not allow for account sharing. To receive a certificate in your name, you must create a Red Cross account in your name using your personal email (this cannot be shared) to receive a individually specific certificate that identifies you as the certificate holder.
Setting up a Red Cross Account, specific to the certificate holder, is mandatory and if you have difficulties with this process we will help you at the course. Please arrive early so that this will be achieved.
What email will you or did you use, or would like Breath for Life to use, to set up your Red Cross Account.
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CPR Level C Renewal Course with AED
Price:
Course GST
Price:
Total
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.
Before you are allowed to pay for this course the following considerations need to be verified:
I have read and understand the policies.
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Yes
I am the cardholder and am paying and registering into this course for myself.
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Yes
No
If yes, please enter your name, in the box, as it appears on your credit/debit card.
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I am the cardholder, and 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, in the box, 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 elses credit/debit card and have received permission and their consent to use their credit card.
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Yes
No
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 your payment must be legitimate.
By entering your name in the space provided, representing either the cardholder and/or the registrant or a person registering on behalf of the registrant whether you are the cardholder or not, 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
I would like to pay for this course
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Yes
A digital version of the CPR C course manual will be available on your confirmation/receipt.
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
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 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.