Integrated Training Pty Ltd

Group Enrolment Form

You are about to book participants in a Provide First Aid course.

Course Start date: 10 Oct 2024

HLTAID011 - Provide First Aid

The online learning is a pre-requisite before completing the one day face-to-face training.

We are located at 66C Canning Highway Victoria Park
Classes are from 09:00-16:00

Parking is available at the back of our premises

Please fill in the Registration form below. Fields with a red * are required.

Available seats: 10

Organisation Name *

First Name *

Last Name *

Email Address * Please CC me at the above email address in correspondence to the following participants I am booking.

Phone Number *

Preferred Payment Method

Purchase Order

Participants

Surname

Given Names

Date of Birth

Gender

Mobile

Available seats: 10

Participants

Total price for participants: $120.00

Enrolment Fee: $120.00