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Wilderness First Aid Interest form
I am interested in Wilderness First Aid, May 31st - June 2nd, 2024. Course will be held at Birch Bend Campground,
33082 268th St, Pierz, MN 56364
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Record my email address with my response
I understand that this is a request to attend Wilderness First Aid and I am not registered for this course until I receive an e-mail confirming my registration. Due to the limited space, 20 participants will be selected and others will be notified that they are on a waiting list.
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Name
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Address
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City
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State
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ZIP
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Phone number
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Email
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Current Northern Star BSA District
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I am not registered with Northern Star Council BSA
Please list any known food or other allergies.
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I agree to pay $200 (PayPal or check) prior to May 1, 2024 if invited to participate in the course. Invitations are expected to be sent by or before April 1, 2024.
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I understand that full attendance and participation on May 31-June 2, 2024 will be required to be given certification for Wilderness First Aid
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I understand that Adult and Child CPR is required before Wilderness First Aid. Choose an option below
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I can attend the 7-9 pm May 31 class for Adult and Child CPR
I have a current Adult and Child CPR certification and will show it at 8am, Saturday, June 1. I understand that there is no discount on fees for this option.
I understand that the certification for Adult and Child CPR and Wilderness First Aid are good for 2 years after completion of course.
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