Registration for Critical Care Nursing Review: September 1, 2023 to May 31, 2024

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

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* 3. LAST NAME

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* 4. 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.)

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* 5. ALTERNATE EMAIL (OPTIONAL)

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* 6. ADDRESS

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* 7. CITY

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* 8. PROVINCE

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* 9. POSTAL CODE

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

Phone number

Is this a mobile device?

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* 11. MOBILE PHONE (FOR EMERGENCY NOTIFICATION)

Mobile Number

Is this the same as home phone?

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* 12. PRIMARY WORK PHONE

Phone number

Extension (if applicable)

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* 13. PRIMARY EMPLOYER

HOSPITAL OR AGENCY (PRIMARY)

UNIT (PRIMARY)

OTHER

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

I agree

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* 15. How will you be making payment? Only Etransfers and mailed cheques accepted. Please check that the Email address for the payment is correct. It is critcareconcepts@rogers.com

An electronic bank transfer will be sent today

I will send a payment within the next 2 weeks (course material will not be sent until payment has been received)

I would like to mail a cheque; please contact me to provide a mailing address

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

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* 17. Registration Fee

Non CACCN member fee $282.50 ($250.00 plus $32.50 HST)

CACCN member fee $259.90 ($230.00 plus $29.90)

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* 18. If paying the CACCN rate, what is the CACCN member code?

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* 19. 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.

I agree

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* 20. 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.

I agree

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* 21. I am aware that videos will only be available until July 31, 2024. I am aware that each ZOOM follow-up classes will only be offered once.

I agree

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* 22. I am aware of the cancellation policy (20% cancellation fee if email notification made prior to receipt of course material being sent). No cancellation after this date. Courses are non-transferrable.

I agree

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* 1. FIRST NAME

Question Title

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

Question Title

* 3. LAST NAME

Question Title

* 4. 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

* 5. ALTERNATE EMAIL (OPTIONAL)

Question Title

* 6. ADDRESS

Question Title

* 7. CITY

Question Title

* 8. PROVINCE

Question Title

* 9. POSTAL CODE

Question Title

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

Question Title

* 11. MOBILE PHONE (FOR EMERGENCY NOTIFICATION)

Question Title

* 12. PRIMARY WORK PHONE

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* 13. PRIMARY EMPLOYER

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

Question Title

* 15. How will you be making payment? Only Etransfers and mailed cheques accepted. Please check that the Email address for the payment is correct. It is critcareconcepts@rogers.com

Question Title

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

Question Title

* 17. Registration Fee

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* 18. If paying the CACCN rate, what is the CACCN member code?

Question Title

* 19. 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

* 20. 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

* 21. I am aware that videos will only be available until July 31, 2024. I am aware that each ZOOM follow-up classes will only be offered once.

Question Title

* 22. I am aware of the cancellation policy (20% cancellation fee if email notification made prior to receipt of course material being sent). No cancellation after this date. Courses are non-transferrable.

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* 23. Where did you hear about this course?