Training Registration Form

Training Registration Form

LIS Royal Rangers
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Church name
Outpost number
ex. 89
Name of Section
Which Training are you taking?

Other
Date of training

MonthDayYear
Date
Signature
Today's Date

MonthDayYear
Date

My Products

First Aid/CPR and AED Adult. 2 year certification

First Aid/CPR and AED Adult

2 year certification

$80.00

Total

Credit Card

If you have any questions about this form feel free to email: longislandsection@gmail.com
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