Interest Form
Outdoor Leadership & Risk Management
Please Note:
As this course has certain prerequisites like minimum field experience (personal or professional), post receiving your 'interest form' we will send a detailed registration form which will include a medical details form among other required info. Thank you.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Please share (in brief) your field experience in the outdoors (personal trips and professional work).
*
Which outdoor skill would you say you are comfortable teaching adults?
*
What certifications and or degrees do you have in Outdoor Education?
*
Why are you registering for this course?
*
Any other course or information you would like to share about yourself that will help us know you better?
Accommodation
*
Single Occupancy - 10400
Twin Share - 8400
Triple Share - 6500
Food Only (I will manage my own Acco)- 4200
Accommodation Options
Total Program Cost (Acco Selection + Nights away from base camp- 5 nights -9250/-)
Receipt info: Please share the name you would like the receipt to be made out to, including GST No(if required).
Submit
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