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Brimfield Merit Badge College Adult Registration 2017
Saturdays February 11th, March 11th & March 18th
9AM to 12 noon

Hitchcock Free Academy
2 Brookfield Road
Brimfield, MA 01010
http://www.hitchcockacademy.org/

Contact Heather Briere at (413) 668-8304 with any questions

Email address *
Leader Information
Last Name *
Your answer
First Name *
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Best Contact Phone Number
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Troop Number *
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Troop Town *
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Emergency Contact Name *
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Emergency Contact Phone Number *
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Class Information
Please choose sessions *
Required
To pay for above training (if needed)
Please use a PayPal account, or contact Heather Briere at heatherbriere@aol.com

Sign into your PayPal account
Click on "Send & Request"
Click on "Pay for Goods or Services"
Enter the Instructor's email, which is Rmweisbrod@gmail.com
Enter the amount you are paying, and add the note "Brimfield Merit Badge College", and then indicate either CPR or First Aid
Click "Continue"
It will give a finalized screen, click "Send Money Now"
You are all set!

Did you pay for the above training (if needed) or contact Heather Briere for other arrangements? (Note: this is the ultimate honor system)
Other Information
How did you hear about this event?
Comments and/or questions
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Thank you for registering!
You will receive a confirmation email for this registration. We look forward to seeing you soon!
A copy of your responses will be emailed to the address you provided.
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