Wilderness First Aid Class Sign-Up Sheet

CONTACT INFO:

TRIP INFO:

TRANSPORTATION:

I have a car I'm willing to drive. It holds people including the driver,
       canoes and bicycles.
I'm 25 or older and I'm willing & able to drive a van rented by MITOC.
I need a ride. Will you please find me one?

MEDICAL:

Please list allergies or medical conditions you have:
(none)

Do you have medical training?	No
	Yes --  what level?