Breath for Life Inc
“First Aid & CPR Training in Edmonton and Area”
breathforlifeinc@shaw.ca
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Red Cross BLS Provider Renewal Form
Step
1
of
4
25%
Must-Knows before you Register:
You must bring your unexpired BLS certificate to your course for validation. You do not qualify to take this course if your certificate is expired.
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 the Canadian Red Cross.
Remember the email that you will 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 attend their 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 your own supplies: 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.
I acknowledge that I have read the following notice
(Required)
Yes
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Before you register into this course please review the address information below and acknowledge that you understand where the course is located.
(Required)
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.
Please Select:
(Required)
I would like to take the Red Cross BLS Provider Renewal Course
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Please upload your current certificate: to register into this course, your certificate MUST BE current within ONE YEAR, and must not be expired.
(Required)
Accepted file types: jpg, png, pdf, Max. file size: 12 MB.
There are no exemptions granted to an expired certificate.
Choose Course Date
(Required)
- Select Your Course Date -
February 19: Thursday - 5PM - 7:30PM - Breath for Life’s Training Facility
March 19: Thursday - 5PM - 7:30PM - Breath for Life’s Training Facility
To Confirm Please enter the Day and Date of the course
(Required)
Perhaps enter this onto your daytimer
Please Re-enter the time: the goal of this is so that you plan ahead and do not arrive late.
(Required)
As per the Canadian Red Cross you must attend the entire course to achieve certification - you must arrive on time and not be late. Doors open 1/2 hour prior to the course start time. Please arrive early so that the course can start on time. If you are late and instruction has started, you will not be allowed into your class as this causes a disruption for everyone in the classroom. You will be required to register into another course at full fee.
(Required)
I Agree
I am confident that I have selected the correct Course, Day and Date:
(Required)
Yes
Notice
If you require the instructor of the course to sign a form, verifying that you took the course, you must have it printed and available for the instructor to sign at your course. Breath for Life will not print the forms that you need signed.
Name Of Person Taking the Course (Registrant)
(Required)
First
Last
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
(Required)
Email
(Required)
This email will be used to send your Confirmation/Receipt. Always check your junk or spam folder if it does not enter your email in-box.
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:
Accessing Your Red Cross Account
. Setting up an account is not mandatory and we will offer our support so that this is achieved.
If you set up or have a Red Cross Account what email defines your user account.
Price and Payment Section
Red Cross BLS Renewal Course
Price:
GST
Price:
I am also interested in the Oxygen Administration and Airway Management for an extra $80 .00
(Required)
Yes: this will add an additional 1.5 hours to the course
No
Oxygen Administration and Airway Management
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.
(Required)
Yes
I am the card holder and am paying and registering into this course for myself.
(Required)
Yes
No
If yes, please enter your name in the box as it appears on your credit/debit card.
(Required)
I am the card holder and I am paying for the registrant (someone other than myself) to attend this course.
(Required)
Yes
No
If yes, please enter your name as it appears on your credit card.
(Required)
What is your relationship to the registrant: the person you are paying for to attend this course?
(Required)
Example: Parent, Spouse, Employer, etc.
I am using someone else's credit card and have received permission and their consent to use their credit card.
(Required)
Yes
No
If yes, please enter the credit card holder's name in the box.
(Required)
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.
(Required)
You do not qualify to take this course as this payment information must be legitimate.
By entering your name in the space provided, representing the cardholder and/or the registrant 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
(Required)
First
Last
I would like to pay for this course.
(Required)
Yes
Credit Card
(Required)
I understand 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
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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 your internet or wifi signal is week, and reregister potentially creating 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.