Name
First Name
Last Name
Pronouns
Email
example@example.com
Phone Number
Dietary Requirements
Accessibility Requirements
Course Selection
Standard Mental Health First Aid Date Selection / EOI
Please Select
EOI
2 x 6 hour Face to Face
Blended Mental Health First Aid Date Selection / EOI
Please Select
16th & 18th December / 6pm to 8.30pm
6th & 7th January / 6pm to 8.30pm
EOI
Online self-paced modules & 2 x 2.5hr Zoom Meeting
Conversations about Suicide Date Selection / EOI
Please Select
EOI
Conversations about NSSI Date Selection / EOI
Please Select
EOI
Payment
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Mental Health First Aid Registration
$
350.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Blended Mental Health First Aid Registration
$
250.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Day Preferences:
Mondays are marvelous!
Tuesdays are terrific!
Wednesdays are wonderful!
Thursdays are tremendous!
Fridays are fantastic!
Saturdays are stupendous!
Sundays are super!
Any day works for me!
Any further information you would like to share to help me ensure a safe and inclusive learning environment for you:
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