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 page, add the course(s) to your cart then complete
the secure online payment process. 2) After payment is processed, you will be redirected to the Registration Form.
Registration is NOT complete until we have
received both the electronic registration and full payment in U.S. funds. Benchmark is not responsible for registrants
failing to complete the registrations process as described herein.
Registration and Payment submitted via Mail:
First, press the white PRINTER FRIENDLY button (at the bottom of the form), 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 we have received both the registration form and full payment
in U.S. funds. Benchmark is not responsible for registrants failing to complete the registration process as described
Course location: Unless otherwise noted, courses are conducted at: Delta Medical Center,
3000 Getwell Road, Memphis, TN. Maps and directions are available through Mapquest or similar services. Please contact us if you need a list of area hotels.
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.
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.
Course materials when applicable are usually mailed within 3 - 5 business days of registration completion. Online course codes and
instructions are usually emailed within 1 - 2 business days of registration completion. Benchmark does not accept
liability or responsibility for shipments/emails not received, lost, or damaged.
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 makes reasonable attempts to protect participant
personal information submitted against public inspection and disclosure absent a subpoena or for the purposes of health oversight
activities as described herein.
No refunds are allowed for online access purchases. No refunds will be issued after the course registration has closed.
Courses may be re-scheduled for a $100.00 Course Change Fee, must be paid by
Cashier's Check or Money Order, and received by Benchmark before the change request will be confirmed. Course change requests
are granted based upon availability. Re-scheduled courses must be completed with Benchmark within ninety (90) days of the
original scheduled date or the registration fee, and if applicable, change fee(s) will be forfeited. The Course Change Fee
is applicable to any course change request. Benchmark is not responsible if a course is not available or if no seat is available
within the ninety day requirement.The registration fee minus a $50.00 cancellation fee may be refunded if a cancellation request
is received before the course is closed, before the registration deadline date, or if course materials have not been
mailed. If course materials have been mailed, the course registration has closed, or the registration deadline has passed,
no refund will be issued. There are no refunds for online course purchases. Benchmark reserves the right to implement policy
on a case by case basis for circumstances not addressed herein.
SUBMISSION: By submitting registration information
and participating in the registered course, the registrant/participant, hereafter referred to as "you" or "your",
attest that you have read, understand, and agree with the course disclaimers, terms, submission agreement, conditions, and
notices, and that you have submitted to the best of your knowledge correct and true information. Benchmark does not guarantee
whether implicitly or explicitly comprehension or future performance. You understand that learning, comprehension, and functioning
at your level of licensure or certification and adhering to the Standard of Care, Scope/Duty of Care, and Scope of Practice
is an individual responsibility; thereby, you agree to hold harmless Benchmark, its agents, employees, and instructors from
any and all personal and professional liability and expense including attorney's fees and costs arising from, or as a result
of, your negligence. You acknowledge that it is your responsibility to notify Benchmark immediately via email of any change
in information used for the purpose of registration to help ensure proper and timely notification and or receipt of course
information or documentation.