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In order to remain in compliance with WSIB regulatory requirements, our academy is required to submit student information to the Canadian Red Cross National Contact Centre. Please full out the form completely prior to attending your course in order to avoid a delays in your first aid and CPR training certification:

Surname:

First name:

Birthdate:

Address:

City:

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Gender:

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Class taken:

CPR: Levels A, C, HCP, or re-certification Emergency first aid: Levels A, C, HCP, or re-certification Standard first aid: Levels A, C, HCP, or re-certification

Your Course Date: