Breath for Life Inc
“First Aid & CPR Training in Edmonton and Area”
Emergency Medical Responder Registration Form
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.
I am interested in registering into the National Red Cross EMR Program
I understand that this program does not qualify me for the ACP provincial registration exam
Yes, I understand
This course is primarily for First Responders including Fire Fighters, Law Enforcement and others who do not intend on seeking registration with the Alberta College of Paramedics.
Please Enter Your Birth Date
Choose Your EMR Course Date
- Select Your Course Date -
May 23,26,30,31,June 5,8,9 (In-Class); May24,25,29,June1,2,6,7 (Virtual) - In-class (8AM-1PM); Virtual Session (1PM-6PM) - Breath for Life’s Training Facility - 4443 - 99 St Edmonton, Ab T6E 5B6 (Parking Instructions: )
I am confident that I have selected the correct date and course.
As a Digital Manual is available for free and is available as a link on your confirmation/receipt for downloading, the cost of a Hard Cover Textbook is extra.
The digital manual will serve my needs and I do not require a Hard Manual
I would like to purchase a Hard Copy Manual
Proof of a Current (within one year) Standard First Aid Level C Certificate is required as a prerequisite and must be current within a year of taking it. You must take your course through one of the following agencies: Canadian Red Cross, St. John's Ambulance, Heart and Stroke. No other provider certificates will be accepted. It is strongly recommended that you take the Standard First Aid Level C Course
with Breath for Life.
Select how you would like to receive your course materials (Textbook)
Ship to an address ($35.00 charge)
I will pick it up at the Breath for Life office
I will receive the manual on the first day of the course
Please provide a date and time, during the business week when you would like to pick up your materials
If you do not pick it up, it will be available for you on the first day of the course.
Registrant Full Name
State / Province / Region
ZIP / Postal Code
Antigua and Barbuda
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Congo, Democratic Republic of the
French Southern Territories
Heard Island and McDonald Islands
Isle of Man
Korea, Democratic People's Republic of
Korea, Republic of
Lao People's Democratic Republic
Northern Mariana Islands
Palestine, State of
Papua New Guinea
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
South Georgia and the South Sandwich Islands
Svalbard and Jan Mayen
Syria Arab Republic
Tanzania, the United Republic of
Trinidad and Tobago
Turks and Caicos Islands
US Minor Outlying Islands
United Arab Emirates
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Registrant's Email: Please enter the email that you want Breath for Life to use to create your Canadian Red Cross Account. This email will also be used to send you your receipt and any correspondence during the course. You are required to remember this email to access your Red Cross Account where your certificate will be populated upon successful completion of the course.
You must not change this email when your account has been created by the Breath for Life office. If you decide to change your email, Breath for Life will not be able to help you.
Red Cross Emergency Medical Responder|EMR Course ($975+GST)
Hard Copy Textbook ($150.00)
Shipping Cost for Manual ($35.00 + GST)
$ 0.00 CAD
Please read the
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.
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.
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).
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.