Course Instructor: Brenda Lynn Morgan 
Course Platform:  Combined online and live Zoom

PLEASE READ BEFORE BEGINNING REGISTRATION 
To avoid delays, please confirm that you have the correct email address for the Etransfer: critcareconcepts@rogers.com 

Please add Brenda Morgan Email: critcareconcepts@rogers.com to your contact list to reduce the chance that emails may be lost in SPAM.

If you do not receive confirmation of receipt of your payment within 5 days, please email Brenda Morgan to confirm that it was received.  To-date, the only time that bank transfers have failed to arrive have been when there is an error in the email address. When this happens, the sender will not receive bank notification that the deposit was accepted (even though the money has been removed from the senders account). The receiver will be unaware that a transfer was sent. The sender will eventually (usually 30 days) be notified that the deposit was never completed and the money returned to the sender's account.  If you do not receive a receipt for payment within 5 days, please contact critcareconcepts@rogers.com

Members of the Canadian Association of Critical Care Nurses (CACCN) are eligible for a $20.00 discount.  Prior to completing the registration, you must login to the CACCN members only website to obtain the discount code.  You will need this to complete this registration (discounted rates will not be reimbursed after registration). 

A 20% cancellation fee will apply to cancellations that are requested by email, within 5 days of registration being sent. No refunds after this date. Courses are non transferable. 

Question Title

* 1. FIRST NAME

Question Title

* 2. LAST NAME

Question Title

* 3. PREFERRED EMAIL (Personal email is recommended; used for all course instructions, receipt, handout links, ZOOM links,  Continuing Learning Hours and important course notifications. Work emails will often trap correspondence in firewalls or SPAM filters.)

Question Title

* 4. ALTERNATE EMAIL (OPTIONAL)

Question Title

* 5. ADDRESS

Question Title

* 6. CITY

Question Title

* 7. PROVINCE

Question Title

* 8. POSTAL CODE

Question Title

* 9. HOME PHONE (Mandatory for emergency contact of course changes)

Question Title

* 10. MOBILE PHONE (FOR EMERGENCY NOTIFICATION)

Question Title

* 11. PRIMARY WORK PHONE 

Question Title

* 12. PRIMARY EMPLOYER

Question Title

* 13. Payment Option

Question Title

* 14. What is the security password for your Etransfer? Security codes are case sensitive.

Question Title

* 15. Registration Fee

Question Title

* 16. What is the CACCN Discount Code (from CACCN members login site). This is mandatory to receive discounted rate.

Question Title

* 17. I understand that access to this online course is restricted to single registered particpants only. Passwords cannot be shared.

Question Title

* 18. I understand that handout material cannot be reproduced (in whole or in part) without permission from Critical Care Concepts.  I am also aware that access to online course material is restricted to registered participants. 

Question Title

* 19. Course content is provided for educational purposes only. Critical Care Concepts assumes no responsibility for the application of content in the clinical area or for the clinical decision-making of any participant. 

Question Title

* 20. I am aware that videos will only be available until June 30, 2022.  I am aware that the live ZOOM follow-up class will be offered twice per module and will not be available by recording.

Question Title

* 21. I am aware of the cancellation policy (20% cancellation fee if email notification within 5 days of registration being sent). No cancellation after this date. Courses are non-transferrable.

Question Title

* 22. Where did you hear about this course?

T