ASIST Registration Part 1: Your Information

    Suicide CPR:
    Learn the skills that save lives!
    $350.00 per person; $250.00 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 ASIST certificate of completion)




    City, Province, Postal Code


    Email Address

    Post-Secondary School

    Student ID No.

    To qualify for student pricing, students must submit a scanned copy of their student ID card or other administrative document, which show current dates of study, attached to an email sent to


    ASIST Registration Part 2: Payment Method

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

    1. eTransfer payment via (receipt provided by registrant's banking institution)2. Credit Card by calling VICS (office is open Monday to Thursday, from 9 to 12 and 1 to 4)3. PayPal Shopping Cart4. Cheque via post (not available within 14 business days of first date of workshop presentation)


    Would you like to subscribe to receive our email announcements?

    YesNoAlready Subscribed


    Additional Comments:

    I have read and understood the Course Registration Policies. Yes

    I have read and understood Vancouver Island Crisis Society's Communicable Disease Prevention Recommendations for Workshop Participants and Trainers (protocols do not apply if facilitated online). Yes

    I understand that payment is REQUIRED to be registered. Yes


    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.