Registration

Please choose your course*

Please Select Your Date*

I confirm that I am in possession of a valid, non-expired AHA Card (BLS/ACLS/PALS) OR have just registered for a BLS course.

Please email a copy of your CARD to sonja@cctraining.co.za before attending your course.

Please Select Your Date*

I confirm that I am in possession of a valid, non-expired AHA Card (ACLS/ACLS EP).

Please email a copy of your CARD to sonja@cctraining.co.za before attending your course.

Please Select Your Date*

I confirm that I am in possession of a valid, non-expired AHA Card (BLS/ACLS/PALS) OR have just registered for a BLS course.

Please email a copy of your CARD to sonja@cctraining.co.za before attending your course.

Please Select Your Date*

I confirm that I am in possession of a valid, non-expired AHA Card (PALS) OR have just registered for a BLS course.

Please email a copy of your CARD to sonja@cctraining.co.za before attending your course.

Please Select Your Date*

I confirm that I am in possession of a valid, non-expired AHA Card (BLS/ACLS/PALS) OR have just registered for a BLS course.

Please email a copy of your CARD to sonja@cctraining.co.za before attending your course.

Please Select Your Date*

Please email a copy of your CARD to sonja@cctraining.co.za before attending your course.

Please Select Your Date*

Your Title*

First Name*

Calling Name*

Surname*

Did you attend an AHA course at our Training center in the last 2 years? YES/NO*

ID Nr*

HPCSA Nr:

Dietary Requests

Select (if required)

Specify (if other)*

Course Manual

Please select : Course Manual - Collect/Send with Courier*

Physical Address (Where Course Manual should be Couriered to)*

Postal Code

Your Contact Details

Telephone Number

Cellphone Number*

Email Address*

Cancellation/Postponement Clause

If you wish to cancel or postpone your course less than 6 weeks prior to the course date, no refund will be given. Postponement fee is R2500 for advanced courses and R900 for BLS. Full refund minus the fees of the books (if you received manuals) will be given if cancellation or postponement is done more than 6 weeks prior to the course date. By selecting this form you declare that the information furnished by you in the online application form is to the best of your knowledge true and correct. You also acknowledge our company policy with regards cancellations and postponements.

I accept the cancellation/postponement clause