Windsor Course Registration
Please fill out the information below to register for course in Windsor, Ontario. All information will remain confidential with BVD Emergency Training.
Name:
(First and Last)
Your answer
Address:
Your answer
City:
Your answer
Postal Code:
Your answer
Mobile Phone:
eg. xxx-xxx-xxxx
Your answer
Home Phone:
eg. xxx-xxx-xxxx
Your answer
Email:
(Note: Your confirmation of registration will be sent via email)
Your answer
How did you find out about BVD?
Are you a Health Care Professional?
Which one are you?
Course:
Choose the course you would like to register for from the drop down menu
Course Type
Course Date:
Select the date from the list below.
Course Location:
Informed Consent Agreement:
I the undersigned, hereby acknowledge that certain risk of injury are inherent to participating in CPR/ First Aid/ Defibrillation/ Airway Maintenance courses and other athletic activities. These types of injuries may be minor or serious, and may result from one’s actions or the actions or inactions of others, or a combination of both. I understand that the rules and regulations are designed for safety and protection of participants and hereby undertake to abide by these rules and regulations. I understand that certain activities require a minimum level of fitness and health (physical, mental and emotional) and that each person has a different capacity for participation in these activities. I agree that the Board of Governors of the University of Windsor, BVD Emergency Training/Solid Foundation or its employees, servants or agents shall not be liable for any injury to my person or loss or damage to my personal property arising from my participation in these activities, unless such injury, loss or damage is caused by the sole negligence of the University of Windsor or its employees or BVD Emergency Training/Solid Foundation or its employees, servants or agents while acting in the scope of their duties. I agree to allowing my email to be added to the mailing list for course reminders and updates as per the new anti-spam legislation. I declare having read an understood the above Informed Consent/Agreement in its entirety and hereby consent to participate acknowledging all of the foregoing.
Required
Payment Method:
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Press the SUBMIT button below to submit your Course Registration. After submission, please scroll to the TOP of the page to view the submission response.
First and Last Name
As you would like it spelled on your Certification card
Your answer
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