NLS Full Course Sign-Up
This form is used to sign-up for the full NLS Course. All NLS course information is available on the Facebook Page and website.

Please note that completion of this form does NOT guarantee a space in the course. There is limited space available, and this form will ALSO be used as our waitlist.  You will be contacted via EMAIL as quickly as we can to inform you of your enrolment status.
Sign in to Google to save your progress. Learn more
Student Name *
Email Address *
Please enter the email address that we can contact to advise you of your enrolment status and other important course details closer to the course. This may be the email address of the student, or of the parent or guardian.
Phone Number *
Please enter the phone number that we can best reach you at regarding course details! This may be the email address of the student, or of the parent or guardian.
Address *
Student Date of Birth *
MM
/
DD
/
YYYY
When and where did the student take their Bronze Cross? If they have not yet completed Bronze Cross, when and where are they planning on taking it? *
When and where did the student take their Standard First Aid? If they have not yet completed SFA, when and where are they planning on taking it? *
Do you have a preference on the course that you take? Please do NOT complete this question if you do not have a preference.
Please note that our August-only course is currently full and you will be placed on a waitlist.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy