CPR Course Registration Form

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Masks are not mandatory. However if you are ill presenting with a cough and intend on attending your course you will be required to wear a mask. Breath for Life will supply masks as required.
Please Stop and Read:
This course is not equivalent to the Heart and Stroke BLS Provider Course for Healthcare Providers.
If you are a healthcare provider needing the Heart and Stroke BLS Provider Course Click Here.
As this course does not include First Aid training:
If you are interested in an Emergency First Aid/CPR course Click Here.
If you are interested in a Standard First Aid/CPR course Click Here.
Please Select*
- I am interested in taking a CPR Level C Renewal Course
Your certificate must be current within three years of taking the course and not expired.
I understand that this is a CPR course and does not include First Aid.
- Yes
If you require both CPR and First Aid please scroll to the top of this page in the yellow section and select the appropriate link.
Certificate Card Expiry Date*
Month
Day
Year
Choose Renewal Course Date*
You must bring your previous certificate to the course for verification.
To confirm please enter the Month, date and day of your course (eg. November 17, Thursday)*
For verification please enter the time of the course you are registering into.*

Doors open 1/2 hour prior to course start time. Please make it your priority to arrive prior to the start time so that the course can start on time. If the doors are locked it means the course has started and the instructor will not be distracted to allow you into the course.
I am confident that I have selected the correct date and course.*
- Yes
Please let us know why you are taking this course. Thank you.

Registrant Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*

This email will be used to send your confirmation and receipt.
If you do not have a Red Cross Account, please enter the email that you would like Breath for Life to use to create your Red Cross Account. If you already have a Red Cross account please enter your Red Cross email here and enter the last name associated with your account . Alternately, and to avoid any errors in the creation of your account, you may set up an account by clicking the link below.*

Your Red Cross account is created based on the email you provide. This email must not be used by any other person as it defines your account alone and no one elses. You must not change this email and must use this email to access your certificate within your Red Cross Account. Should you choose to change your email within your account, after your account has been created, Breath for Life will not be able to help you access your account or your certificate – as you will be locked out and this will prevent us from helping you.
Since 2017, the Canadian Red Cross has transitioned to digital E-cards. If you have taken this course through the Canadian Red Cross, you have a Red Cross user account. If you remember the email associated with your Red Cross account please take the time to log into your account by using the following link: Red Cross Link and do a password reset. Your prior certificate should be available in 'My Profile, My certificates'. You will be required to show your certificate at the course to qualify for a renewal course. If you are new to the Canadian Red Cross and have a current certificate, you may set up a Canadian Red Cross account by following the steps outlined in this link: Red Cross Account Setup
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, which represents your signature for yourself or someone else, you accept the terms and conditions of the policies which form a contract between you (the registrant) and Breath for Life. If you require to step outside of the contract, the policies will be applied with consistency and neutrality.*

By entering your name you are accepting the policies, terms and conditions of this purchase.
I would like to pay for this course*
- Yes
A digital version of the CPR C course manual will be available on your confirmation/receipt.
CPR Level C Renewal Course with AED ($70+GST)
Price:
Total
$ 0.00 CAD
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
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.

CPR Course Registration Form

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CANCELLATION/RESCHEDULING POLICY