REGISTRATION

    Please choose your course*

    [group ACLS-Group]

    Please Select Your Date*



    I confirm that I am in possession of a valid, non-expired AHA Card (BLS/CPR for Proff/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.



    [/group]

    [group ACLSEP-Group]

    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.



    [/group]

    [group PALS-Group]

    Please Select Your Date*




    I confirm that I am in possession of a valid, non-expired AHA Card (BLS/CPR for Proff/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.



    [/group]

    [group PALSEP-Group]

    Please Select Your Date*




    I confirm that I am in possession of a valid, non-expired AHA Card (PALS)

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



    [/group]

    [group PEARS-Group]

    Please Select Your Date*


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

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



    [/group]

    [group BLSHCP-Group]

    Please Select Your Date*




    [/group]

    [group ITLS-Group]

    Please Select Your Date*




    [/group]

    [group BLSInstructors-Group]

    Please Select Your Date*




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



    [/group]

    [group ECG-Group]

    Please Select Your Date*




    [/group]

    [group Aviation-Group]

    Please Select Your Date*




    [/group]

    Your Title*

    First Name*

    Calling Name*

    Surname*

    Do you have a valid,non-expired AHA card for the ACLS&PALS (BLS/ACLS/PALS)- ACLS EP (ACLS/ACLS EP)- PALS EP (PALS) course that you will be attending? YES/NO*

    ID Nr*

    HPCSA Nr:

    Dietary Specification

    Select (if required)

    [group Dietary Allergy]

    Specify (if Allergy)*


    [/group]

    Course Manual

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

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


    [/group]

    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

    IMPORTANT NOTICE FOR: BLS and CPR Instructors course

    In order to register for BLS or CPR Instructors course you have to possess a valid, non-expired AHA (BLS) card. See sample below

     

    IMPORTANT NOTICE FOR: ACLS EP course

    In order to register for ACLS EP course you have to possess a valid, non-expired AHA (ACLS) card. See sample below

    IMPORTANT NOTICE FOR: PALS EP course

    In order to register for PALS EP course you have to possess a valid, non-expired AHA (PALS) card. See sample below