Spring Leader Training – LandSea

Please Register Me For: *

Wilderness First Aid: 3/2-3/3 – can be used to recertify AWFA/WAFA/WFR/WEMT
Wilderness First Responder – 6/17-6/26 (class is held 6/17-6/21 and 6/24-626)

Name *

First Last

Self-Identified Gender *

Address *

Street Address City State / Province / Region Country

Phone Number *

Birth Date *

MM

DD

YYYY

Student ID Number (for K Students) *

Mark NA if not applicable.

WFA/Re-cert students: Would you like to add CPR? *

Yes – requires an additional fee. Class typically occurs for ~2.5 hours after the first day’s WFA class
No – I have current CPR or plan to acquire it at another time
I’m registering for WFR [CPR is included in the course]

Are you using this course to recertify a current wilderness medical certification? *

Yes
No

If yes, which certification do you hold? *

AWFA/WAFA
WFR
WEMT

What month and year did you take the course? *

What organization is the certification from? *

If the certification is NOT from from one of the organizations listed above you may not be eligible to recertify through the course. Please contact OutdoorPrograms@kzoo.edu to verify your eligibility for re-certification before completing your registration.

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