Please Note: Filling out this form means you wish to reserve the date/time/month/year selected to attend the course. Our staff will notified you within 24 hours as to whether or not you have been accepted into this particular course.

If you have any questions regarding registration or want to register a group, please check the Course Calendar and Map page.

Please select the following options

Heart Saver CPR/AED Provider
Heart Saver CPR/AED (C)
BLS for HCP Provider
BLS for HCP Renewal
Infant and Child CPR
Standard First Aid CPR and CPR C
ACLS provider
ACLS renewal
PALS provider
PALS renewal
Emergency First Aid and CPR C
Standard First Aid CPR and BLS for HCP

Date/Month/Year + time selected for the course

First and Last name*

Address*

City*

Province*

Telephone*

Email Address*

Please indicate your profession

RN/RPN
RT
Other Health Care Specialists
Student

Payment Method arranged with Instructor

Certified cheque mailed to Life Rescuer
Master Card/Visa - Invoice via e-mail

How did you hear from us?

Life Rescuer Website
Colleague / Friend
Poster or Flyer
Email
Other