PREP – February 8 – Emergency Services Training

PREP Registration – February 8

Course Date: Saturday, February 8
Time: 2:30 – 3:30 pm
Location: Mohawk College, (135 Fennell Ave W. Hamilton, ON), Room C143. For a map of campus and directions, click here.

PREP Practice – $55.00 + HST ($62.15)

Please complete these forms and bring them with you to the PARE Test/Practice.

Get Active Questionnaire (PDF)
Informed Consent for PREP (PDF)

Contact Information

Name *

First

Last

Email *

Email

Confirm Email

Phone *

Personal Health Information

Please answer the following questions as accurately as possible.

Gender *

Age *

Height (ft. or cm) *

Weight (lbs. or kg) *

Have you completed the PREP before? *

Yes
No

Have you completed the shuttle run before? *

Yes
No

Emergency Contact

Please provide the name and contact information of someone we can call incase of an emergency.

Name *

First

Last

Relationship *

Phone *

Please select your payment option. *

Online credit card – $62.15
Etransfer – $62.15

Please complete these forms and bring them with you to the PARE Test/Practice.

Get Active Questionnaire (PDF)
Informed Consent for PREP (PDF)

February 8 | PREP Registration

PREP Registration – February 8

Please complete these forms and bring them with you to the PARE Test/Practice.

Contact Information

Personal Health Information

Do you need a MEDICAL NOTE from your doctor?

Emergency Contact

Etransfer Payment Information

Please complete these forms and bring them with you to the PARE Test/Practice.