Stay Safe Registration Page

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I am interested in taking the Stay Safe - Home Alone Course*
- Yes
Choose course date*
Confirm course date*
Please confirm your course date
Date of Birth (must be between the ages of 9 and 13)*
MM
DD
YYYY

Registrant's Name*
First Last
Parent/Guardian Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Contact Phone Number*
Parent's Email*

This email will be used to send you the course information and receipt. Please also check your spam or junk folder if the email does not appear in your inbox.
Child's Email*

If not available please have an email set up for your child to receive an electronic certificate issued by the Canadian Red Cross.
Stay Safe - Home Alone Course Cost ($55 + GST)
Price: $ 57.75 CAD
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.
We accept the following Debit & Credit Cards*

American Express
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
CANCELLATION/RESCHEDULING POLICY
1. The purchase of this course is considered final sale. Any cancellations or reschedules will result in a loss of your registration fee.
Breath for Life Never Cancels Courses that you commit to. Breath for Life thanks you for your patronage.
I have read the Cancellation/Rescheduling Policy and Agree to the Terms and Conditions*
- Yes
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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.

Stay Safe Registration Page

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CANCELLATION/RESCHEDULING POLICY