Interest Form - BIPOC Wilderness First Aid
Please use this form to express interest in an upcoming potential Wilderness First Aid course with the Institute for Wild Med and Black&Wild. 

The potential dates for this workshop would be May 4-5, 2024. Each day will consist of a full 8-hour course with an online CPR course prior. Course rates typically run at $275 for WFA + CPR but adjusted rates may be available.

You can also use this course to re-certify your Wilderness First Responder certification

exact location TBD, but would likely be here at basecamp in Petersburgh, NY

RSVP is required through Institute for Wild Med landing page- Link coming soon

We do not profit from any of the course fees or donations and are simply holding them until we figure out numbers with IWM and what adjusted rates we can offer.

Please stay tuned! We will try to have numbers by next week feb 5-11 and i will reach out to y'all!

We will likely cap this class around 15 so unfortunately not everyone who has expressed interested will be able to attend these dates, but i will coordinate with IWM about setting up another weekend!
Email *
name *
phone number *
are you able to reserve May 4-5, 2024 on your calendar for this course? *
this course typically costs $275 for Wilderness First Aid  + CPR. Will this rate be accessible to you? *
If you answered no or maybe, please explain your answer & what rate would be more accessible for you?
what portion of the course fee would you be able to cover yourself? *
are you able to pay a higher rate for this course to offset the costs for others?
Clear selection
Do you need to re-certify a Wilderness First Responder (WFR) certification? *
will you need transportation support? *
can you offer transportation support?  *
Do you have any access needs or health concerns we should be aware of? *
anything else we should know?
Submit
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