Certificate in Outdoor Emergency Care Enrolment Form: 11th – 15th September 2017 - Hillary Outdoors Turangi
Please fill in the information below to ensure we have all we need to process your application

This form will enrol you for our September 2017 Certificate in Outdoor Emergency Care course based at the Hillary Outdoors Centre Turangi.

Thanks

Horizons Unlimited

First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Date of Birth
Your answer
Cell Phone Number
Your answer
Postal Address
Your answer
Gender
Do you have an NZQA number?
If you do have an NZQA number, please write it into this box
Your answer
Are you an international student? (You are not a New Zealand citizen or holder of a New Zealand residents visa). This information is for NZQA reporting purposes.
Do you live with any of the following injuries, long term mental/physical illnesses or disabilities?
(please tick those that apply to you)
Required
If you answered other in the question above, please outline any other medical or health concerns
Your answer
Unit Standards
Pre requisites for the 5day Certificate in Outdoor Emergency Care courses are unit standards 26551, and 26552.(equivalent to 6400, 6401, 6402). Do you already hold these unit standards?
Required
Terms and Conditions:
The cost of this course is $795 per person. Positions are offered on a first in first served basis. Your position on the programme will be confirmed once we have received full payment. Full payment is required before the programme starts. A full refund will be given if you withdraw more than 14 days prior to the programme start. If you withdraw within 14 day of the course start date, we will issue a refund less a $50 administration fee. No refund will be given if you withdraw during the programme. In the event that we cancel the programme a full refund will be given.
Required
Will you pay by bank deposit?
If you'd like to pay by bank deposit, please tick the box below, and then transfer the full amount into Horizons Unlimited, ASB Bank, The Palms, Shirley, A/C # 12 3162 0022353 00
Would you like us to invoice your employer?
Some of our PHEC participants like us to invoice them or their employer / organisation.
Where shall we send the invoice
Please fill in the box to confirm the details of the person you wish us to invoice for your course fee, including name of person or organisation, and their email address or postal address
Your answer
Thank you!
When you hit submit we will receive your application.

We will be in touch within a couple of days to confirm we have received your application and to send an invoice.
Programme details and a pre-course assignment will be sent shortly before the start date.
Many thanks and please email info@horizons.co.nz if you need further information

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