+ Request Form

Thank you for choosing Warrior Rec for your first aid needs! To ensure a smooth course, please make note of the following and return the Request Form as soon as possible to

Our Programs

Waterloo has the largest single-affiliate LSS first aid and lifesaving program in Ontario, in large part because of the quality instruction and equipment we continue to offer. As part of your course fee, we provide all of the equipment required and recommended by WSIB to offer first aid programs – AED-appropriate manikins with lungs, masks, AED Trainers, gloves and first aid equipment. In keeping with the most current first aid and resuscitation standards and WSIB Regulations (Ont. Reg.1101), ALL courses with CPR include AED certification. Course content can be tailored to meet the needs of the group. The programs we offer are recognizedandapproved by WSIB and professional associations (i.e. medical schools)

Choosing a Course

  1. What do you want/need the certifications for? If you need them for a professional designation or employment, check what the organization requires. CPR-HCP is required and/or preferred by many professional medical/peri-medical associations for graduate work or professional recognition. (medical school, pharmacy, physio, massage, etc). It is recommended that Orientation leaders hold Emergency First Aid at minimum. Descriptions can be found on the Warrior Rec website.
  2. Determine the number of people in your group.
  3. If choosing a SFA Recert , check that everyone qualifies for the recert (prerequisites). WSIB Regulation Enforcement - In some cases, wecan combine the prerequisites into the course if needed.
  4. Temporary cards will be given out at most courses with permanent cards mailed out from the certifying organization (Lifesaving Society).

Setting Up the Course

  1. Submit your completed Request Form.
  2. Two-week notice is requested and a minimum of sixcandidates. If less than six candidates attend, the group will be charged the difference.
  3. Promote the course to your society/friends/family/roommates etc. We have materials to help with this.
  4. Courses with 15-16 participants qualify for the large group rate. If less than 15 attend, the difference will be charged to the group.
  5. Refunds must be requested fivebusiness days prior to the start of the course. All refunds are less $25
    /course. If an instructor cannot be found, then a full refund will be given.
  6. Courses not in an athletics facility will be charged travel time.

Course Fees

  • To reduce the course fee for each candidate, participants will not receive manuals; a class set will be used as required by WSIB 1101.Manuals are available for purchase, and can be addedon your Request Form or purchased from the PAC officeduring regular office hours.
  • Payment must be arranged prior to an Instructor being assigned to this course. Full fees are due five business days prior to the course start date.
  • HST will be added to all course fees and materials

Thanks again and we look forward to your course!

Rebecca Boyd, Aquatics and Risk Management Coordinator, 519-888-4567 ext. 35034;

CONTACT INFORMATION: Name of Group: ______

Contact NameTelephone (local):

Contact Email Telephone (mobile):

REGISTRATION: Estimated # of participants: ______“We will allow outside reg. to increase #s”: Yes  No 

On-Campus Departments Payment Information:

Name to appear on invoice ______Email: ______

Address to appear on invoice:______Phone: ______

COURSE DETAILS: WarriorRec facility: Yours:  Location: ______

Dates/Times 1st choice: Time: ______2nd choice: ____ Time: ______

COURSE – these courses are repeated to maintain certification. There is no separate “Recertification” course
Course / Time Required / Prerequisite / Fee (1-14) / Lg Grp (15-16) / Check
** Fees in effect for courses Sept 1, 2017–Aug. 31 2018 / #CFA Manuals
$14.41 (+ HST) / Course Fees – PLUS HST
Anaphylaxis Certification / 1 hour / None / $14.00
Airway Management / 5 hours / SFA with CPR-C / $44.00 / $28.00
Basic First Aid with CPR C and AED (incl. Adult, infant, child, 2-rescuer CPR) / 6 hours / None / $34.00 / $25.00
CPR A with AED(Adult CPR) / 4 hours / None / $32.00 / $20.00
CPR Bwith AED (Adult, Child, Infant CPR) / 5 hours / None / $35.00 / $22.00
CPR Cwith AED(Adult, Infant, Child, 2-Rescuer) / 5 hours / None / $35.00 / $25.00
CPR HCPwith AED(Adult, Infant, Child, 2-rescuer, AED, Bag Valve) / 5 hours / None / ($12.56 + HST) / $56.00 / $42.00
Emergency FA with CPR Cand AED (incl. Adult, infant, child, 2-rescuer CPR) / 8 hours / None / $62.00 / $38.00
Standard FA with CPR C and AED (incl. Adult, infant, child, 2-rescuer CPR) / 16 hours / None / $99.00 / $56.00
Standard FA w/ CPR-HCP and AED (incl. Adult, Infant, Child, 2 Rescuer, AED, BVM) / 21hrs / None / CFAM-
HCPM- / $135.00 / $75.00
RECERTS
Standard FA Recert w/ CPR C and AED (Adult, Infant, Child, 2 Rescuer) / 8 hours / WSIB 1101: Hold SFA; SFA dated no more than 36 months ago; SFA is from LSS; SFA was not a recert last time / $63.00 / $42.00
Standard FA Recert w/ CPR-HCP (Adult, Infant, Child, 2 Rescuer, AED, BVM) / 13 hrs / WSIB 1101: Hold SFA and CPR-HCP; SFA dated no more than 36 months ago; SFA is from LSS; SFA was not a recert last time / $99.00 / $65.00

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