Marine Basic First Aid Registration

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*Course meets the certification requirements of Transport Canada outlined in TP 13008 E*

Participant FIRST name *

Participant Last Name *

Participant Date of Birth *

YYYY

Participant Email Address *

Street Address *

City *

Province *

Postal Code *

Participant Phone Number *

Session Preference *

May 11+12 (BOTH DAYS) - 9:00am-4:00pm - ANTIGONISH

May 14+15 (BOTH DAYS) - 10:00am-5:00pm - ANTIGONISH

May 16+17 - (BOTH DAYS) - 9:00am-4:00pm - NEW GLASGOW

May 28+29 (BOTH DAYS) - 10:00am-5:00pm - ANTIGONISH

Course Fee - per participant/all inclusive *

Marine Basic First Aid + CPR/AED - $145

COURSE FEES - MUST BE PAID IN ADVANCE TO SECURE YOUR SEAT

Please note that course fees listed below are all inclusive. Please be advised that seats are non-refundable, including seats to be invoiced. Credit may be issued for future session in special circumstances - emergency/unexpected circumstances. Receipts will be issued once payment has been received.

METHOD OF PAYMENT *

E-transfer - please send to heidiconnorsfirstaid@gmail.com

Company Invoice* - will be issued upon submission of registration form - see *'s below

Company Name (only if you wish your company name to appear on your receipt)

*INVOICE - Company Name

*CONTACT EMAIL (for Company Invoice only)

As a condition of my enrolment, by clicking "SUBMIT", I acknowledge and agree to the following (MUST CHECK ALL) : *

I acknowledge that course fees will be submitted using the method indicated

I acknowledge that course fees are non-refundable (including seats to be invoiced), save for cancellation on the part of Heidi Connors First Aid Training

I acknowledge that I can change course dates (no charge, subject to availability) UP TO 48 business hours prior to course start

Required

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