Two Day Outdoor First Aid Course Registration Form
Many thanks for all the time you volunteer for Scouting
Volunteer Name
*
First Name
Last Name
Volunteer E-mail
*
example@example.com
Volunteer Mobile Number
*
Format: 07000 000000.
Reason for attending 2 day outdoor first aid course (rather than 6 hour 'first response' course)
*
Eg Hill walking permit holder
Scout County & District
*
Scouts Hereford & Worcester - Avonvale
Scouts Hereford & Worcester - Bromsgrove
Scouts Hereford & Worcester - Redditch
Scouts Hereford & Worcester - Ross
Scouts Hereford & Worcester - South Marches
Scouts Hereford & Worcester - The Malverns
Scouts Hereford & Worcester - The Shire
Scouts Hereford & Worcester - Worcester
Scouts Hereford & Worcester - Wyre Forest
Other
Scout Group
*
Main age group / section
*
Please Select
4-6 Squirrel Scouts
6-8 Beaver Scouts
8-10.5 Cub Scouts
10.5-14 Scouts
14-18 Explorer Scouts
18+ Scout Network / Adult Volunteer Support
Select course
*
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March 14th & 15th 2026 - Hagley
£70.00
£
70.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Emergency Contact Details during the weekend
*
Details of who we can contact during the course if required, their relationship to you and a contact number
Submit
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