Breath for Life (First Aid Education) Inc
“First Aid & CPR Training in Edmonton and Area”
breathforlifeinc@shaw.ca
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Must Knows Before You Register using this Form
Please Forward the Relevant Information to those individuals who You Will be Registering into this course and who will be Attending this Course at Breath for LIfe
Breath for Life’s address is 4443 – 99 St.
Entrance is the back door.
Ensure you communicate the date and start time (8AM) of the course. Late arrivals will be given a small window of opportunity to show-up.
Entry will be at the back door; our foyee is at the back entrance of the building
Parking stalls are at the front and back of the building and along the road on 44th and 45th Ave.
If a Renewal Course is selected, ensure that your staff bring their unexpired certificates to the course
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 Consent to Receiving emails from Breath for Life to receivee updates on upcoming courses. Please answer 'NO' if you are not interested.
(Required)
Yes
No
If you don't have a DayCare/Day Home Company then answer "No" above and it will skip this part.
DayCare/Day Home Company Name
(Required)
Email: Please enter your Company Email
(Required)
I Would Like to Register the Following individuals into the following course:
(Required)
Standard Childcare First Aid Level B with AED: Full Course
Standard Childcare First Aid Level B with AED: Renewal Course
Childcare First Aid offers Level B CPR. As level C CPR has become a popular choice, you may purchase a separate certificate reflecting Level C CPR. You will receive two certificates: a Standard Childcare First Aid Level B CPR certificate and a separate CPR Level C certificate. I would like this extra certificate for the cost of $10.00.
(Required)
Yes
No
This offer is available for this online registration only. If you chose NO and decide after the course that you would like an additional CPR Level C certificate, you will be required to take the CPR full course.
I took my last First Aid Course with Breath for Life Inc
(Required)
Yes
No
Please Upload your certificate for Validation
(Required)
Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.
Your certificate must be current within three years to qualify for this course. If it is not current select a full course.
General Course Policies
CANCELLATION/RESCHEDULING POLICY
Please read the
General Policies
governing your registration into this Course. Breath for Life
commits to delivering the course
that you register into. Breath for Life thanks you for your patronage.
Consent to Enter into A Contract with Breath for Life
(Required)
I understand and agree to the terms and conditions of this registration which forms a contract with Breath for Life.
I hereby agree that I have read the Policies, which establish the Terms and Conditions of this registration. If any changes are requested, the terms and conditions will be followed if any changes are required.
By entering your name in the space provided, you are entering into a contract with Breath for LIfe, and understand that this contract will be governed by the terms and conditions agreed to.
(Required)
First
Last
Please Select Your Course Date
Standard Childcare First Aid Level B: Full Course
(Required)
- Select Your Course Date -
April 15&16: Wednesday/Thursday - 8AM - 4:30PM - Breath for Life’s Training Facility
April 23&24: Thursday/Friday - 8AM - 4:30PM - Breath for Life’s Training Facility
April 25&26: Saturday/Sunday - 8AM - 4:30PM - Breath for Life’s Training Facility
April 27&28: Monday/Tuesday - 8AM - 4:30PM - Breath for Life’s Training Facility
May 5&6: Tuesday/Wednesday - 8AM - 4:30PM - Breath for Life’s Training Facility
May 13&14: Wednesday/Thursday - 8AM - 4:30PM - Breath for Life’s Training Facility
May 16&17: Saturday/Sunday - 8AM - 4:30PM - Breath for Life’s Training Facility
May 21&22: Thursday/Friday - 8AM - 4:30PM - Breath for Life’s Training Facility
May 25&26: Monday/Tuesday - 8AM - 4:30PM - Breath for Life’s Training Facility
May 30&31: Saturday/Sunday - 8AM - 4:30PM - Breath for Life’s Training Facility
June 3&4: Wednesday/Thursday - 8AM - 4:30PM - Breath for Life’s Training Facility
June 11&12: Thursday/Friday - 8AM - 4:30PM - Breath for Life’s Training Facility
June 13&14: Saturday/Sunday - 8AM - 4:30PM - Breath for Life’s Training Facility
June 16&17: Tuesday/Wednesday - 8AM - 4:30PM - Breath for Life’s Training Facility
June 22&23: Monday/Tuesday - 8AM - 4:30PM - Breath for Life’s Training Facility
June 27&28: Saturday/Sunday - 8AM - 4:30PM - Breath for Life’s Training Facility
Standard Childcare First Aid Level B: Renewal Course
(Required)
- Select Your Course Date -
April 18: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
April 20: Monday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
April 24: Friday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
April 25: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
May 1: Friday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
May 2: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
May 8: Friday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
May 9: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
May 11: Monday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
May 16: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
May 23: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
May 29: Friday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
May 30: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
June 5: Friday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
June 6: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
June 9: Tuesday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
June 13: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
June 19: Friday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
June 20: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
June 26: Friday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
June 27: Saturday - 8AM - 4:30PM (in-class) - Breath for Life’s Training Facility
Please enter the Course Date that you are registering your staff into.
(Required)
Please communicate this with your staff
Please enter the Course Start Time (8AM) and no later for which your staff will be expected to arrive before the start time.
(Required)
Please communicate to your staff the importance of arriving before 8AM.
List Of Participants
(Required)
Name of Participant
Email:
Add
Remove
If you are registering into a Red Cross course and have a Red Cross account please enter the email associated with that account. The email you provide will be used to create a Red Cross account: this account cannot be shared by any other person. It must be specific to the individual so that they will receive a certificate in their name.
Particulars
Company Name
(Required)
First
Contact Name
(Required)
First
Last
Company Address
(Required)
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Contacts Email
(Required)
Contact's Phone Number
(Required)
I Would Like to Proceed to the Payment Section
(Required)
Yes
Standard Childcare First Aid Level B with CPR and AED: Full Course
Standard Childcare First Aid Level B CPR with AED: Renewal In-class Course
CPR Level C Certificate
Standard Childcare First Aid Level B with CPR and AED: Two Days In-Class
Price:
Childcare Full Course
Standard Childcare First Aid Level B CPR with AED: Renewal
Price:
CC Renewal
CPR Level C Certificate
Price:
Enter the Number of People you are Registering in this Course:
(Required)
Childcare Full Course
Product Subtotal:
Childcare Full Course
Course Tax: $7.00
$ 0.00 CAD
Childcare Full Course
Enter the Number of People you are Registering in this Course:
(Required)
Renewal
Product Subtotal
Renewal
Course Tax: $5.75
$ 0.00 CAD
Renewal
Enter number of individuals you would like a CPR Level C Certificate
(Required)
CPR Level C Certs Subtotal:
CPR Level C Certificate
CPR Level C Cert Tax: $0.50
$ 0.00 CAD
CPR Level C Certificate
Total Cost
Childcare Full Course
I Wish to Pay for My Registration
(Required)
Yes
I understand that my payment will appear as Breath for Life on my Credit Card statement.
(Required)
Yes
Total Owing
Credit Card
CAPTCHA
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.
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