PALS, PEARS and ACLS - Digital Marketing Hub

Which training would you like to attend*

Pediatric Advanced Life Support (PALS)
Pediatric Emergency Assessment, Recognition and Stabilization (PEARS)
Advanced Cardiovascular Life Support (ACLS)

Provider Course or Update Course*

Use special instruction box to list choices in order.

Provider Course
Update Course

Training Dates - PALS Provider Course*

Please DOUBLE CHECK YOUR SCHEDULE and choose 3 preferred dates. Use special instruction box to list choices in order. *Provider: Day 1, 8am-4:15pm and Day 2, 8am-4:00pm

January 7 & 8
January 29 & 30
February 12 & 13
February 27 & 28
March 5 & 6
March 27 & 28

Training Dates - PALS Update Course*

Please DOUBLE CHECK YOUR SCHEDULE and choose 3 preferred dates. Use special instruction box to list choices in order. *Update: 8am-4:15pm

Training Dates - PEARS Provider Course*

Please DOUBLE CHECK YOUR SCHEDULE and choose 3 preferred dates. Use special instruction box to list choices in order.

January 4
February 15
March 12

Training Dates - ACLS Provider Course*

Please DOUBLE CHECK YOUR SCHEDULE and choose 3 preferred dates. Use special instruction box to list choices in order. *Provider: Day 1, 8am-4:15pm and Day 2, 8am-4:00pm

February 4 & 5

Training Dates - ACLS Update Course*

Please DOUBLE CHECK YOUR SCHEDULE and choose 3 preferred dates. Use special instruction box to list choices in order. *Update: 8am-4:15pm

November 30
December 6
January 10
January 24
February 6
March 29

Upload a copy of your current Certification Card (only if you did not take your last course @BCH)

Name*

As you would like it to appear on card

First Last

RN, MD, PNP, Other:*

Email*

Phone*

Mailing Address (business addresses are not accepted)*

required to mail out mandatory Pre-Course manual. (if you have the current 2015 manual and do not need another please write "Not Needed"in address field)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you a Boston Children's employee or affiliate?*

Yes
No

BCH Employee ID #*

Unit/Floor*

Special Instructions. Use this section to place class dates in order of choice.

Will your department be covering the cost?

Yes
No

Payment - Department ID#*

Unable to process without numerical number and approver name. Ask your department manager or nurse educator for this information.

Payment

For security purposes; before registration can be processed self-paying participants must contact the office 617-355-2649 during normal business hours Monday through Friday 7:00am- 4:00pm to make payment