Emergency First Aid Level C CPR Course 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 select one of the following
- I am interested in taking an Emergency First Aid Course
Please note: this course is not equivalent to the Standard First Aid Course which is a two day course. The Emergency First Aid Course is one day in duration and may not meet OH&S requirements for your specific needs. Please ensure that this course is the right choice for you.
Choose date*
To confirm please enter the Month, date and day of your course (eg. November 17, Thursday)*
For your verification re-enter the start time of the course you have selected. Courses start at either 8 AM or 1 PM depending on the date you selected.*

You must arrive on time. Doors open 1/2 hour prior to course start time. Please arrive early so that the course can start on time. If you are late and instruction has started, the door will not be opened by the instructor as this causes a disruption for the participants who arrived on time and an interruption for the instructor.
I am confident that I have selected the correct course and date.*
- 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 Country
Phone*
Email*
Registrant's Email: Please re-enter your email even if it is the same as the above. If your personal email is different from the above email address, please enter it here as this email will be used to create your Red Cross account. If you already have a Red Cross Account, perhaps different from the above email, please provide it here. You are required to remember this email to access your Red Cross Account.*

To gain access to your Certificate, you will need to provide Breath for Life with a personal email address not shared by anyone else. Your email is required so that the Canadian Red Cross can email you a certificate. Please ensure that your email is accurate. -- Please note: Gmail accounts seem to be incompatible with the Canadian Red Cross server. It is advisable that an email other than gmail be provided for ease of certificate acquisition. --
Optional:
- Provide your Company Details
Company Name*
Company Contact*
First Last
Company Phone Number*
Company Email*

This email will be used to send your confirmation and receipt.
I understand that I will be provided with a digital version of the First Aid and CPR book (e-book).*
- Yes
A digital version of First Aid and CPR manual will be available on your confirmation/receipt. You may download it to your computer.
I am interested in purchasing a Red Cross Emergency First Aid and CPR manual (hard copy) for $20.00*
- Yes
- No
Book purchases are final sale. To claim your book 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.
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.
Emergency First Aid Level C CPR Course with AED ($105+GST)
Price:
Red Cross Manual - Final Sale ($25.00 + GST)
Price:
Total
$ 0.00 CAD
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.*

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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Emergency First Aid Level C CPR Course Form

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CANCELLATION/RESCHEDULING POLICY