ASIST Registration Part 1: Your Information

    Suicide CPR:
    Learn the skills that save lives!
    $295.00 per person; $199.00 per student (with proof of Student ID)


    Enter Workshop Dates:

    8:30 am to 4:30 pm both days
    Vancouver Island Crisis Society Training Centre, Nanaimo

    Your Name (as it is to appear on your certificate)




    City, Province, Postal Code


    Email Address

    Post-Secondary School

    Student ID No.

    To qualify for student pricing, students must submit a copy of their student identification card either as a scanned document attached to an email sent to or as a fax sent to 250-753-2475.


    ASIST Registration Part 2: Payment Method

    As per our registration policies, payment must accompany this personal information form.

    1. Credit Card by calling VICS (office is open Monday to Thursday, from 9 to 12 and 1 to 4)2. PayPal Shopping Cart3. eTransfer payment via (receipt provided by registrant's banking institution)

    UNAVAILABLE Payment Methods during COVID-19 pandemic
    • Credit Card at VICS office
    • Cash or cheque at VICS office
    • Cheque via post (not available within 10 business days of first date of workshop presentation)


    Would you like to subscribe to receive our email announcements?

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    Additional Comments:

    I have read and understood the Course Registration Policies. Yes

    I have read and understood Vancouver Island Crisis Society's COVID-19 Guidelines & Protocols for Workshop Participants and Trainers. These protocols state that workshop participants must be fully vaccinated against COVID-19. Yes

    I understand that payment is REQUIRED to be registered. Yes

    This workshop meets essential travel criteria during the COVID-19 pandemic. We recommend that you carry with you a copy of the confirmation email you will receive after you submit this registration form, or your payment receipt, as you travel and from the ASIST workshop presentation at our Training Centre in Nanaimo.


    ASIST Info
    Pricing and On-Site Opportunities
    ASIST Online Registration Form
    Course Registration Policies
    VICS PayPal Shop

    Please donate to the Vancouver Island Crisis Society to support our ASIST workshops. Thank you.