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Course
Registration Form
Please ensure payment is submitted with registration form. ONLINE Registration and Payment
is a TWO-STEP process: 1)
Go to the Courses Offered page and add the course(s) to your cart and complete the secure online payment process via PayPal (no
PayPal account required). 2) Return to this page, complete then submit this registration form. Registration
is NOT complete until both have been received. Registration and Payment submitted via Mail:
Please press the white PRINTER FRIENDLY button (at the bottom of the form) first, THEN complete the form,
print the form, and remit with payment. Payments must be made in U.S. Dollars by cashier's check, money order,
company/organization check, or company PO. Registration is NOT complete until both have been received.
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No
refunds if a course is missed or you cancel after the registration deadline. You may re-schedule. Pre-course
materials if applicable are mailed 7 - 10 days prior to course beginning. Benchmark
is not responsible for items lost or damaged during shipping.
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AHA DISCLAIMER: The American
Heart Association (AHA) strongly promotes knowledge and proficiency in BLS, ACLS, and PALS and has developed instructional
materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the American
Heart Association. Any fees charged for such a course, except for a portion of fees needed for AHA course materials, do not
represent income to the Association.
COURSE
COMPLETION DOCUMENTATION REPLACEMENT POLICY: Post Course documentation is mailed via U.S.
Post Office to the address entered during registration. Post
course documentation is presumed to have been received unless returned by the U.S. Post Office. If returned by the U.S.
Post Office, the documents will be held until you contact us. A replacement fee of $25.00 per document will be assessed for
any reason other than an error on our part.
COURSE COMPLETION: Course completion is defined as: The participant
successfully demonstrated the core knowledge on said date and Benchmark, its faculty, staff, assistants, and agents
neither implicitly nor explicitly guarantees any degree of future performance. Therefore, by participating
in this activity, the participant hereby indemnifies and holds harmless Benchmark, its faculty, staff, assistants, and
agents from any claims that may arise from participation in this activity or activities. The participant furthermore
agrees and understands that comprehension and performance is an individual responsibility; that Benchmark does not license
or certify individuals in skills or procedures; and that the participant must adhere to local standing orders, protocols,
or other medical direction, and within the individual's scope of practice. PRIVACY
NOTICE: Submission of information will be retained for course attendance, participation and reporting as may be required
by the course sponsor and or distributor of continuing medical education certificates. This information may be used to
notify the participant of future continuing education or training opportunities. Benchmark protects participant
personal information submitted against public inspection and disclosure absent a subpoena or for the purposes of health oversight
activities as described herein. SUBMISSION:
By submitting registration information and participating in the registered course, you attest that you have read, understand,
and agree with the course disclaimers, terms, conditions, and notices, and that you have submitted to the best of
your knowledge correct and true information. You also acknowledge that it is your responsibility to notify Benchmark
in the event of any change in information within thirty days of such change or in a timely manner to ensure proper notification
and or receipt of post course documentation.
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