Please fill in the information below. Pre-registration and payment are required to successfully register for this course. Upon submission of this form, you will be able to pay the course fee online. A confirmation notice will be sent when your registration form and payment are received. The fee for the course is $120.00 per person and must be received to confirm your participation in the class. PLEASE BRING A PAYPAL PAYMENT RECEIPT OR SCREEN SHOT WITH YOU TO THE WILDERNESS FIRST AID CLASS AS PROOF OF PAYMENT FOR THE INSTRUCTOR. Thank you.