Name(s):
Street address:
You must be at least 14 years old to enroll.
Ages 14 through 17 may enroll with an enrolling adult.
Age category:
[ ] Adult (21+ years old)
[ ] Young adult (18-20 years old)
[ ] Teen (14-17 years old, with a
co-registering adult)
REQUIRED: Your phone number:
REQUIRED: Your email address:
[ ] I am applying to "Fly Standby" for the full 3-day course ($190).
] I am applying to "Fly Standby" for Saturday and Sunday only ($160).
[ ] I am a healthcare professional - please specify (MD, RN, EMT, etc.)
[ ] I have a van, large SUV, station wagon, or large truck with a camper shell (minimum cargo area of 90 cu.ft.) and I'm willing to haul course gear to the lodge Thursday afternoon, for enrollment priority or compensation.
[ ] I am willing to help sign students in.
The WFAC needs 4 early-bird students to sign in the other students.
Start tasks on Friday at 7:00 a.m. to sign in your fellow students at 7:15 a.m. Get the best seats in the classroom, meet all the other students, and contribute to a good cause!
[ ] I prefer vegetarian meals.
(We offer basic "carnivore" and basic vegetarian.)
In addition to a PDF of the course notes available for download prior to class, I want to:
[ ] Pick up a paper copy at the course ($15 fee)
[ ] Receive a paper copy via USPS at my
address ($20 fee)
Is your submission complete?
Please use the following checklist for a complete application.
[ ] I have read the Participation Release and agree that I will sign it.
[ ] Completed printout of this form
[ ] Signed check made to WFAC ($190 for the full 3-day course or $160 for Saturday and Sunday only)
No checks that expire in 90 days, please
NOTE: WFAC returns incomplete submissions.