Registration Instructions: Please Review

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. When registrations fail to arrive, it is almost always an error in the email address. When this happens, the sender never receives bank notification that the deposit was accepted (even though the money has been removed from the senders account) and the receiver is 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). You are eligible for the discounted rate as soon as you join.
A 20% cancellation fee will apply if requested by email, before the course material has been sent. No refunds once course material has been emailed. Course material and access to the live sessions are restricted to registered participants.

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* 1. First Name

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* 2. Last Name

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* 3. Home Address

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* 4. City

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* 5. Province

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* 6. Postal Code

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* 7. Primary Email for all Correspondence (recommended to use personal email to avoid firewall blocking from work email)

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* 8. Confirm Primary Email (for accuracy)

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* 9. Alternate Email Address

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* 10. Mobile Phone Number (used only for urgent or time sensitive contact if unable to reach through email).

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* 11. Landline or alternate phone number

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* 12. Primary Employer

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* 13. Primary Unit of Employment

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* 14. I understand that access to this program is restricted to a single registered user. I know that I cannot share my password or participate as a group.

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* 15. 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.

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* 16. I am aware that course content is provided for educational purposes only. Critical Care Concepts assumes no responsibility for the application of content in the clinical area, clinical decision-making or success on the national certification examination of any participant.

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* 17. Please select your registration fee option. I apologize, but Credit Card Payment is NOT an option.

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* 18. REQUIRED for Interac payment - What is the security password you created for your Interac transfer

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* 19. Registration Fee

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* 20. CACCN Discount Code or Membership and Expiration Date (If CACCN discounted rate selected)

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* 21. How did you hear about this course?

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* 22. What is your goal or purpose for taking this course (what do you hope to get from this course?

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