Booking Request Form
Company/Organisation
*
Contact Name
*
First Name
Last Name
E-mail
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Venue Location
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If you would like SLST to book a venue, please state this
Expected Number of Participants
*
If you would like SLST to book a venue, please state this
Course Type
*
HLTAID011 Provide First Aid Blended, from $180pp
HLTAID011 Provide First Aid Full, from $240pp
HLTAID009 Provide Cardiopulmonary Resuscitation Blended, from $50pp
HLTAID009 Provide Cardiopulmonary Resuscitation Full, from $50pp
Community Surf Life Saving Certificate Update Course, from $150pp
Community Surf Life Saving Certificate Full, from $370pp
Please select your preferred course delivery method
*
Face to Face
Blended - Online Learning Included (Not available for Community Surf Life Saving Certificate)
Course Date/Time Preference
*
Alternative Course Date/Time Preference
*
Additional Comments
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