Exit this survey Slipstream First Aid - Group Training Quote Request Form 1. Question Title * 1. Contact Information Your Name: * Company/Organization: Email Address: * Phone Number: * Question Title * 2. Please give us some background information about the people in your group. You can select one or more of the options below, and/or write in the comment field. Prior first aid training (please describe below) Post-secondary education (recent or currently attending) Scientists Ski patrollers Less than high-school Post-secondary education (10 or more years ago) English as a second language Age 16-19 Volunteers Medical professionals (RN/MD/etc.) Indigenous peoples Age 12-15 Age 20 and up High-school graduation Comments Question Title * 3. What type of training would you like to provide for your group? WFA90 Pro - The Advanced course (Blended Delivery: in-person workshop/online theory & exam) (Slipstream's most popular course for educators, guides, and leaders) WFA50 Pro - The Essential course (Blended Delivery: in-person workshop/online theory & exam) (Slipstream's most popular course for recreationists and other outdoor professionals) WFA90 Pro - The Advanced course (Blended Delivery: video-conference workshop/online theory & exam) WFA50 Pro - The Essential course (Blended Delivery: video-conference workshop/online theory & exam) WFA90 Pro - The Advanced course (Classic Delivery: in-person workshop & theory/online exam) WFA50 Pro - The Essential course (Classic Delivery: in-person workshop & theory/online exam) WFA90 Pro - The Advanced course (Classic Delivery: video-conference workshop & theory/online exam) WFA50 Pro - The Essential course (Classic Delivery: video-conference workshop & theory/online exam) WFA35 - Practitioner (online theory & exam) WFA20 - Fundamentals (online theory & exam) I don't know Other (please specify) Question Title * 4. Would you like to add any of these fun topics to your WFA90 or WFA50 course? Yes, add CPR Level A (adult patients only) Yes, add CPR Level C (adults, infants, children, and 2-rescuer CPR) I don't know Question Title * 5. What are you planning to use this training for? Continuing Medical Education (CME) credits Recreation (day trips) Guiding (multi-day) Fisheries work Guiding (day trips) Field research Ski patrol Outdoor Leadership Training Park warden service Community outreach Recreation (multi-day) Other (please specify) Question Title * 6. Approximately how many people in your group are: Taking Wilderness First Aid for the first time? Recertifying, with previous training from a complimentary agency? Recertifying, with previous training from Slipstream? Question Title * 7. When would you like to do this training? Price may vary depending on season. Earliest start date: Date Latest end date: Date Question Title * 8. Where would you like to do this training? City/Town: State/Province: Country: Question Title * 9. What budget do you have in mind for this training? Less than $100 per student $100-199 per student $200-299 per student $300-399 per student $400-499 per student $500-599 per student $600-699 per student $700-799 per student $800-899 per student $900-999 per student $1000 or more per student Less than $1000 for the course $1000-1999 for the course $2000-2999 for the course $3000-3999 for the course $4000-4999 for the course $5000-5999 for the course $6000-6999 for the course $7000-7999 for the course $8000-8999 for the course $9000-9999 for the course $10,000 or more for the course Comments Question Title * 10. Would you like to open your course to public registrants through Slipstream's website? This can reduce your cost to run the program, and enrich the learning experience and networking opportunities for your students by introducing individuals from a variety of backgrounds. Yes, please include public registrants in my course No, I would like my course to be private, for my group only I don't know Question Title * 11. Do you have any other comments or questions for us? Thank you for completing our Group Training Quote Request Form!Once you click the "Done" button below, you can expect to receive a response by phone or email from Slipstream Headquarters within 2 business days. If you do not hear anything within this time frame, please contact us at 1-800-760-3188 or email info@wildernessfirstaid.ca.Slipstream First Aidwww.wildernessfirstaid.ca© 2023 Solid Medical & Safety Systems Ltd. Done