Breath for Life Inc
“First Aid & CPR Training in Edmonton and Area”
breathforlifeinc@shaw.ca
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Standard (Intermediate) First Aid 2 Day In-Class Form
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Must-Knows before you Register:
If you are a Company and have two or more individuals to register into this course send the office an email at breathforlifeinc@shaw.ca and request our online Multiple Registration Form.
Breath for Life’s address is 4443 – 99 st.: we are not located at any other address within Edmonton and have no affiliations with any other First Aid and CPR company in Edmonton or Alberta.
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 acknowledge that I have read the above notice
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Yes
Section Break
Before you register into this course please review the address information in the box below and acknowledge that you understand where the course is located.
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Yes
Breath for Life is located at 4443 - 99 St. Edmonton, Alberta T6E 5B6. Google maps is accurate in terms of this location. We are located just north of Whitemud Drive off the 99 St Ramp.
I would like to register into the Intermediate First Aid Course delivered in-class
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Yes
Please select which level of Intermediate (Standard) First Aid your require:
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Level C CPR: Adult, Child, Infant CPR
Level A CPR: Adult only CPR
Choose Course Date
Select Your Course Date
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- Select Your Course Date -
February 17&18: Tuesdsay/Wednesday - 8AM - 4:30PM - Breath for Life’s Training Facility
February 23&24: Monday/Tuesday - 8AM - 4:30PM - Breath for Life’s Training Facility
March 4&5: Wednesday/Thursday - 8AM - 4:30PM - Breath for Life’s Training Facility
March 9&10: Monday/Tuesday - 8AM - 4:30PM - Breath for Life’s Training Facility
March 19&20: Thursday/Friday - 8AM - 4:30PM - Breath for Life’s Training Facility
March 25&26: Wednesday/Thursday - 8AM - 4:30PM - Breath for Life’s Training Facility
March 31&April 1: Tuesday/Wednesday - 8AM - 4:30PM - Breath for Life’s Training Facility
Please Note: Breath for Life reserves the right to change the mode of delivery to Blended Learning if participant enrolment is too low to offer the course in class over two days.
To confirm please enter the Month, day and date of your course (eg. January, 1st; Monday)
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At this point please enter this information into your calendar: if you have an online calendar ensure that it is set to Mountain Standard Time. Also enter the start time of the course into your calendar so that no error around the start time will occur.
I have confirmed that the course selected including the date and time are correct for my needs .
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Yes
Important Notice about Being On Time
I agree that I will make arriving on time a high-priority. Receiving the course you paid for depends on being on time.
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Yes
The start time of this course is 8 AM. For your verification re-enter the course start time for this course.
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Breath for Life requires that you arrive prior to your course start time. Doors open 1/2 prior to course start time. Doors are locked when the session starts and the instructor will not step outside of the course to allow you into the building. If you are an employer please convey this information to your employees.
Breath for Life commits to delivering the course you register into. Breath for Life also endeavors to start a course on time with the consideration that there might be some delays. We help students create Red Cross Accounts and gain access into their accounts and this may mean the class start time may be delayed: this service is provided so that participants are able to access their certificates. If you need this level of assistance, we request you arrive early. Starting on time matters to most participants registered into a course and arriving late creates a disruption at many levels. When a course has started there is a very small window to allow you access into your course and when this time-frame has expired, your entry into the course will be denied. A condition of the Canadian Red Cross and Occupational Health and Safety is that a student attend 100% of their course. If you arrive late, regardless of life events, and you were not granted access into your course resulting in you not receiving the course you paid for, Breath for Life should not be blamed for this because being on time should have been a high priority and the course would have been received given a timely arrival. If you arrive late and the course has started you will-be regarded as a no-show and policies around a late arrival will apply. By agreeing to what has been specified in this paragraph you agree to making your early arrival a high priority.
I agree to the above
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Yes
Person Taking this Course: Registrant's Name
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First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Email
*
The email entered in this box above will be used to send the confirmation.receipt. If you are booking an employee may we suggest that you enter your email here to receive the confirmation.receipt. You can forward a copy to your employee if needed.
The Canadian Red Cross will issue your certificate to your Red Cross account a few days after course completion. You may set up this account by following the following directions:
Set up Account
. If you have a pre-existing account use the following link to access your account:
Access Your Red Cross Account
.
Your Red Cross account is defined by your name and email that you use to create your account. You become the account holder. If you use your account to register someone into this course, or are using someone else’s account to register into this course, your certificate will be in the account holder’s name. The Red Cross does not allow for account sharing. To receive a certificate in your name, you must create a Red Cross account in your name using your personal email (this cannot be shared) to receive a individually specific certificate that identifies you as the certificate holder.
Setting up a Red Cross Account, specific to the certificate holder, is mandatory and if you have difficulties with this process we will help you at the course. Please arrive early so that this will be achieved.
What email will you or did you use, or would like Breath for Life to use, to set up your Red Cross Account.
*
Optional: This section is for Breath for Life's records. No email or correspondence will be sent based on the information entered.
Provide Your Company Details
Breath for Life is required to keep on file a record of all registrants. By entering company information this will be an additional way to search for registrants if certification information is requested.
Company Contact
*
First
Last
Company Name
*
Company Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Contact Email
*
Contact Phone Number
*
Section Break
I understand that I will be provided with a digital version of the First Aid and CPR book (e-book). I would sooner have a hard copy of the manual for an extra $25.00
*
Yes
No: I am satisfied with the digital manual
The digital manual link will be found on your confirmation/receipt
Intermediate (Standard) First Aid In-Class Course
Price:
GST
Price:
Manual
Price:
GST
Price:
Total
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.
Before you are allowed to pay for this course the following considerations need to be verified:
I have read and understand the policies.
*
Yes
I am the cardholder and am paying and registering into this course for myself.
*
Yes
No
If yes, please enter your name, in the box, as it appears on your credit/debit card.
*
I am the cardholder, and am paying for the registrant (someone other than myself) to attend this course.
*
Yes
No
If yes, please enter your name, in the box, as it appears on your credit card.
*
What is your relationship to the registrant: the person you are paying for to attend this course?
*
I am using someone elses credit/debit card and have received permission and their consent to use their credit card.
*
Yes
No
If yes, please enter the credit card holder's name in the box.
*
What is your relationship to the cardholder: the person who is allowing you to use their credit/debit card to pay and attend this course.
*
You do not qualify to take this course as your payment must be legitimate.
By entering your name in the space provided, representing either the cardholder and/or the registrant or a person registering on behalf of the registrant whether you are the cardholder or not, or the registrant borrowing someone else’s credit card, you accept the terms and conditions of the policies around your registration into this course. By entering your name in the space provided you are entering into a contract with Breath for Life. As Breath for Life’s goal is to never cancel courses, which you as the registrant would expect when you pay for this course, if you require to step outside of the contract (eg.: reschedule and/or cancel, miss your course, are late, etc ), the terms and conditions of the policies which you agree to will be used to guide decision making, in a fair, consistent and neutral way.
*
First
Last
I would like to Pay for this Course
*
Yes
Total
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
*
Breath for Life accepts Mastercard and Visa
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. 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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Level C
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Level A
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SFA Book (Manual)
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Course Selection Changelog (hidden field)