<p>McMaster Children’s Hospital Pediatric Advanced Life Support Course At Grand River Hospital, KW Site, Kitchener</p><p>The Pediatric Advanced Life Support (PALS) course provides a foundational knowledge of theory and resuscitation modalities necessary to stabilize the critically ill pediatric patient. This course is designed for healthcare providers who want to enhance their knowledge of pediatric resuscitation with the intent of increasing confidence and comfort in the provision of care to the critically ill child.</p><p>Course Date – February 14 & 15, 2013 Course Fees Full Course: $335 *Note: Course costs do not include course materials</p><p>Course Materials Please allow yourself adequate study time. The new materials (2010 edition) include the following: PALS Provider Manual and a PALS Pocket Reference Card (with PALS algorithms). The PALS Provider Manual (Item #RE6001E) can be purchased from McMaster University Health Sciences book store (www.bookstore.mcmaster.ca) or directly from Laerdal Canada (www.laerdal.ca)</p><p>Prerequisites RN, RRT, MD, DDS or A-EMCA</p><p>Register early, as enrollment will be limited for each session. The Simulation & Outreach Program at McMaster Children’s Hospital endeavors to provide an exemplary course experience, however, in rare situations courses may be cancelled due to unforeseen circumstances. If it becomes necessary to cancel a course, registrants will be given the option of enrolling in a future course or receiving a refund. </p><p>Cancellation Policy  For any withdrawal less than three weeks in advance of the course, a $75.00 administrative fee will be deducted from your registration fee.  Substitutions are welcome.  Requests for transfer to an alternate course date can be made up to one week in advance of the course. One transfer is permitted with an administrative fee of $50.00 payable at time of transfer.  No refunds will be issued for withdrawals received less than one week prior to the course. No refunds or transfers will be given for “no shows”</p><p>Registration Form ATTACHED. For further information contact [email protected] PALS Registration Form* Course: February 14 & 15, 2013 at Grand River Hospital (KW Site), Name: Kitchener, ON Address:</p><p># Street City Registration Fees Province Postal Code</p><p>Phone: PALS Provider $335 *Registration with Heart & Stroke Foundation of Ontario is Email: also required.  Go to: https://resuscitation.heartandstroke.ca/ Affiliated Institution:  Click on ‘Find a Course’  For this course, the course identifier is: C-100412</p><p> AEMCA  RRT Cancellation Policy  MD  Other, please specify:  For any withdrawal less than three weeks in advance  RN of the course, a $75.00 administrative fee will be deducted from your registration fee. Payment Method  Substitutions are welcome.  Requests for transfer to an alternate course date can  Cheque be made up to one week in advance of the course. One transfer is permitted with an administrative fee If paying by cheque, please make cheque payable to of $50.00 payable at time of transfer. “Hamilton Health Sciences, Outreach Program”  No refunds will be issued for withdrawals received  Credit Card – If paying by credit card, please provide less than one week prior to the course. No refunds or the following information: transfers will be given for “no shows”</p><p>Register early, as enrollment will be limited for each session. The Simulation & Outreach Program at Card Type: McMaster Children’s Hospital endeavors to provide an exemplary course experience, however, in rare situations  VISA courses may be cancelled due to unforeseen  MasterCard circumstances. If it becomes necessary to cancel a  American Express course, registrants will be given the option of enrolling in a future course or receiving a refund. </p><p>Name of Cardholder: Return Registration to:</p><p>Card No: Simulation & Outreach Program Attention: Diane Brophy Expiry Date: McMaster Children’s hospital 1200 Main Street West, Room 1C23B Hamilton, ON Registration Fee: L8N 3Z5</p><p>Signature: </p><p>------**FOR OFFICE USE ONLY: Date Received: ______</p>