Waikato APLS Course 18-20 October 2023 | Advanced Paediatric Life Support (NZ)

Your Registration Info

* Indicates a required field.

Title

First Name *

Last Name *

Hospital *

Position *

Specialty *

Email Address *

Phone (Mobile) *

Phone (Work)

Phone (Home)

Address Line 1 *

Address Line 2

Address Line 3

City *

Postal Code

Country *

Priority Registration

Special consideration may be available when APLS certification is mandated for employment or training.
To request priority consideration, please select the mandate that applies to you, and add any additional information relevant to your request.

My training body (e.g. College requirement)

Yes No

My employer

Yes No

To enter my chosen training scheme

Yes No

If possible I am required to have current APLS certification by (date)

Additional Information