Advanced Response Training - On-Line Registration Form

Wilderness, Urban and Aquatic Rescue Training

Request for Training Quote

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Request for Training Quote

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To request a quote for training simply complete all sections of this form and submit it online. A quote will be prepared and sent to the person listed below.

Personal Information

Name:
Permanant Address:
Street:
City:
Province:
Postal Code:

Phone Number:	( )
Email Address:

Course Information
Please check the course or courses required:

Aquatic Programs:

Bronze Medallion
Bronze Cross
National Lifegaurd Service

Wilderness Programs:

Wilderness & Remote First Aid, CPR Level C
Advanced Wilderness & Remote First Aid, CPR Level C
Basic Ice Rescue (ART)
Advanced Ice Rescue (ART)

Urban Programs:

Emergency First Aid & CPR B
Standard First Aid & CPR C
CPR Level A
CPR Level B
CPR Level C
CPR Level HCP
First Responder, CPR HCP & AED
First Responder Challenge
Emergency Medical Responder, CPR HCP & AED
Emergency Medical Responder Upgrade

Advanced Programs:

International Trauma Life Support (ITLS)
Advanced Medical Life Support (NR-EMT)
Paramedic Tutoring (Skills, Scenarios, Theory)

Leadership Programs:

First Aid Instructor (Canadian Red Cross )
Wilderness First Aid Instructor (Canadian Red Cross)
First Aid Instructor (LSSC)
Advanced First Aid Instructor (LSSC)

Course Date:
Would you like training to take place in the next

1 month?

2 months?

3 months?

more than 3 months?

Number of participants:

Please use the text box below to ask any questions or make any comments about the courses:

Questions or Comments:

How did you hear about Advanced Response Training?

Revised: November 24, 2009