BLS COURSE REGISTRATION

Register for BLS Blended Learning Renewal

Complete the registration form below to reserve your place in an upcoming BLS training session. After submitting your registration, you will receive an email with payment confirmation and detailed guidance for completing your BLS training.

Personal Information

First Name

Last Name

Email Address

Phone Number

Course Selection

BLS Blended Learning Renewal — $70

Preferred Classroom Date*

Number of Participants*

Additional Information

Are you registering for yourself or someone else?*

Myself

Someone else

Do you have any physical limitations or accessibility needs that may affect your participation in the hands-on training?

Yes

If yes, please provide details so we can discuss appropriate accommodations before your class.

HSF ID #*

Enter your Heart & Stroke Foundation ID number, or NA if you don't have one.

Additional dates that would work for you?

If the class is cancelled due to low registration what additional dates are you be available?

I would like a receipt for my payment.

Registration & Payment

Please note:

Payment is required by e-transfer at least 72 hours before your scheduled classroom session.
Online course access will be provided after payment is received.
The online portion must be completed before attending the classroom session.
A minimum of 3 students is required for the classroom session to proceed.
Any student arriving more than 10 minutes late will be denied entry to the classroom session.

Payment

Interac e-Transfer

Send your Interac e-Transfer to:

melissa.hofstra@cyadaze.com

Upload Transfer Receipt *

JPG, PNG, or PDF, up to 5MB. Your order will be confirmed once we've verified the transfer.

I confirm that the information provided above is accurate and I understand the registration and payment requirements.*

I agree

Quick check: Add three to three: *

After submitting the form, our team will contact you with payment instructions and registration confirmation.

Need Help?

Have questions before registering?

email: melissa.hofstra@cyadaze.com

Phone: 587-377-0164