Wilderness First Aid Registration (5/9/2020)
Please fill out this form even if you have filled out previous Sage registrations. It is the best way for us to contact you in an efficient manner. This course is open to the Sage community, as well as the general public.

This form does not reserve you a space in the course. Only paying the full amount of tuition reserves your spot. See website for directions on how to pay.

Participant First Name *
Your answer
Participant Last Name *
Your answer
Participant Email Address (Please spell carefully!) *
Your answer
Participant (or Parent) Phone Number *
Your answer
Are you a minor? *
If yes, please provide your parent's Full name
Your answer
If yes, please provide your parent's email address
Your answer
Are you taking this course to recertify your Wilderness First Responder (WFR)? To recertify on this course, NOLS must be your last recertifying agency. *
If yes, what organization certified you?
Your answer
If yes, what is the expiration date on your card?
Your answer
Please submit the following to the front desk at Sage or mail in: *
Submit
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