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Wilderness First Aid Grant Funding
Wilderness First Aid Grant Funding
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Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Age:
Email
*
Phone
*
Address
*
Address Line 1
City
State / Province / Region
District
*
District 1 – Councillor Paul MacNeil
District 2 – Councillor Perla MacLeod
District 3 – Councillor Bruce Morrisson
District 4 – Councillor Barb Longva
District 5 – Councillor Fraser Patterson
District 6 – Councillor Larry Dauphinee
District 7 – Councillor Jackie Organ
District 8 – Councillor Norman MacDonald
I am Available for the course dates of June 9th – 11th, 2023
*
Yes
No
If not successful in getting the district grant for the cost, I would be interested in registering and paying the $349 for this course. Please check yes and we will share your info with the instructor.
*
Yes
No
Submit