Community/Family WFA Training Application
Please apply to participate in the family and community Wilderness First Aid course! Learn how to treat minor illnesses and injuries in the backcountry using materials that fit in a backpack. This is a hands on course where students participate in realistic scenarios to practice skills. There will be some lecture based lessons and demonstrations. Students who successfully complete the course will earn a two year Wilderness First Aid certification, along with a CPR/AED and epipen certifcation (all good for two years). All certifications will be issued through Desert Mountain Medicine, a nationally recognized wilderness medicine institution.  

The course will take place at TEENS, Inc. 151 East Street, Nederland, CO 80466. The dates of the course are Saturday, April 12 and Sunday, April 13th from 8am-4:30/5pm daily. Students must attend at least 80% of the course to receive the certification. 

Please reach out if you have any questions. Call us at 303.258.3821 and ask for Rebecca or email rebecca@teensinc.org. Your application does not guarantee a spot. Please do not make plans to participate until we contact you.

*Students 12 and younger must be accompanied by an adult registered in the course, students who are 13 and 14 are encouraged to register with an adult but not required. 14 and up can participate alone.

Once you are accepted on to an Outdoor Leadership program we will request a $100 deposit to hold your spot. We will ask for the balance about 2 weeks prior to the class. Our programs are popular and we want to ensure that all available spots are filled, which is difficult if people drop out last minute. Your deposit is non-refundable unless you cancel with 2 months notice before the start date of the class. If you are receiving a full scholarship, you will not need to pay a deposit, but we request that you are certain you want to do the program  before accepting the scholarship. 
Sign in to Google to save your progress. Learn more
Email *
Name of Participant # 1 *
Age of Participant 1  *
Name of Participant #2 (if applicable)
Age of Participant # 2 (if applicable)
Name of participant # 3  (if applicable)
Age of participant # 3 (if applicable)
Name of contact person
Email of contact person
Phone of contact person
Mailing Address of contact person
The WFA training will take place on April 12-13 (Saturday and Sunday) from 8:00 am- 4:30/5 pm. Are you available for the whole class? *
The cost of the course for a student is $200. The cost of the course for an adult community member is $250.  The cost of the program is subsidized and TEENS, Inc. operates on a sliding scale. Please let us know how much you can pay for each student (between $90-$200) and for each adult (between $105-$250). If this is still outside of your financial capabilities, please email Ariel (ariel@teensinc.org). *
Would you like a copy of the Desert Mountain Medicine's Wilderness First Aid book to take home after the class? (We will have classroom copies for during the course). The books cost $30 each. We will invoice you for the cost. Please select how many you would like below: *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of TEENS, Inc..

Does this form look suspicious? Report