Student Enrolment Form

You are enrolling in a Perform rescue from a live LV panel & Provide cardiopulmonary resuscitation

Course Start date: 02 Nov 2022

8am-2pm Tuesday

To complete your registration please complete the below information. Also ensure you meet the course pre-requisites below prior to completing this registration. If you have any questions with regards to the course, we suggest you call the office on 08 8947 4444.

• Participants are required to wear appropriate PPE (high visibility shirt or high visibility vest) and suitable protective footwear IE Steel capped boots. We do have safety vests available and a small selection of protective footwear.
• You will need to have a Unique Student Identifier. A USI gives you access to your online USI account which is made up of ten numbers and letters. It will look something like this: 3AW88YH9U5.
• Participants must provide Photographic Identification (Licence, Passport or Proof of age card.)
• LLN/ Special needs, if assistance is required in regard to language, literacy and numeracy or any special needs, please advise us prior to enrolment. Our Student Handbook contains our policies and procedures for information prior to enrolment and is available for download from our website

Please fill in the Registration form below. Fields in bold are required.