Survival Med University Enrollment Form

Survival Med University

GROUP DISCOUNT & FUNDRAISING PROGRAM
To support our mission of providing low-cost high-quality lifesaving knowledge to everyone everywhere, Survival Med welcomes partnerships with both for-profit and non-profit groups, businesses and organizations.

To get started, please tell us about your group, business or organization, and we'll get you set up!

NOTE: if you represent a search and rescue or community emergency response team, please visit our No Barriers: Partnerships & Support for Emergency Response Teams page for tuition discounts and other resources.
Name of your group, business or organization*
Both for-profit businesses and non-profit or volunteer organizations and groups are welcome. You do not have to be a 501(c)3 organization to participate.
City*
State*
Roughly how many members or employees will likely take Survival Med classes? An estimate is fine. This estimate does not obligate your group to buy classes.*

Up to 1011 - 2526 - 5051 - 7576+
Tell us about your business, group or organization—what is your focus, and how will Survival Med classes support your group's mission or goals?*
Check the Survival Med University programs you're interested in:*

Tuition discount programFree instructor certificationFree fundraising programsFree & low-cost webinars on advanced wilderness medicine topicsCustom class—please describe & we'll contact you to discuss further
Check the courses you want to make available:*

Outdoor First Aid & Survival BasicsWilderness First Aid CertificationWilderness First Responder CertificationWilderness First Responder RecertificationCustom class—please describe & we'll email you to discuss further
Your Contact Details

Your information will be used only to respond to your Survival Med University query.
Your Name*

First NameLast Name
Your Email Address*
example@example.com
Should be Empty:

Survival Med University

Your Contact Details