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Book an On-Site Wilderness & Remote First Aid Course (WRFA)

Wilderness & Remote First Aid Course - Boots on the Ground, Inc.

Instructions

Please complete and submit this form only if you are ready to schedule an onsite-visit by our team to conduct a WRFA course. If you are not prepared to book a course, please hit the back button in your browser and use the contact button. This form is secured using SSL technology.

Name
First Last
Email
Phone*
Name of Organization or Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Proposed Location Address
Website
Is the proposed location at a secured site?
Ie military or government installations
- Yes
- No
Proposed date?*
Notes
Is there anything else we need to know?
Number of Students
Please enter a value between 6 and 30.
Please enter the number of students that will participate in the Wilderness and Remote First Aid Course. A minimum of 6 student are required for an onsite visit, with a maximum of 30 in total per course.
Price
A non-refundable $50 book and materials fee for each student must be paid at booking, unless otherwise agreed upon in advance. The remainder will be invoiced before the course starts. For organization that require a full invoice, you may skip this section. You will be invoiced in full, which must be paid before the course can be scheduled do to the need to purchase books and materials sufficient to cover each student's participation. Please enter the total to be paid:
Credit Card

Discover
MasterCard
Visa
JCB
Card Number Expiration Date Security Code Cardholder Name
Authorization
- I, the above named person, do hereby authorize Boots on the Ground to charge the credit card I have provided for a non-refundable book and materials fee.

BOOTS ON THE GROUND is a nonprofit corporation operated exclusively for charitable, educational, and humanitarian purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986, or the corresponding section of any future Federal tax code. Always consult a tax professional regarding charitable donations.