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Online Form - Essential First Aid Training Expression of Interest

This form is for Hedland based sporting clubs who are interested in participating in the free, two day Essential First Aid training course on Thursday 16 and Friday 17 September 2021.

Your Name*

Your Best Contact Number*

Your Best Contact Email Address*

Your Club's / Association's Name*

Your Position in the Club / Association*

Your Unique Student Identifier (USI) Number*

Please let us know why you would like to participate in this course*

I understand that I must attend both days to receive the course qualification. I understand that failing to attend one or both days may result in my Club / Association being invoiced the full course cost of $350.00.*

YesNo