The Kane Schools - Wild & Rescue Medicine

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Course Application

Wilderness First Aid students perform a patient assessment during a simulation. Photo: Max Dodge

Please fill out the form below completely. Ensure you state to which course you are applying.

Name *

First

Last

Address *

City *

State *

Postal Code

Date of Birth *

Phone Number (Area Code) *

Email *

Affiliated Agency and Contact Information (Optional)

Please include: head of service, training officer as needed, phone and email, and whether the agency will be paying.

Select a Course *

Wilderness First Aid (WFA) $195
Emergency Medical Responder (EMR) $695 [$400]
EMT NCCP Refresher $150
AEMT NCCP Refresher $195
Hybrid EMT $1395 [$600]
Hybrid EMT (Immersion) $2250 [$1000]
Wild Medicine Refresher $125
Advanced EMT (AEMT) $1995 [$900]
OEC to EMT Conversion $795 [$450
Wilderness First Responder $850 [$400]
WFR Review $195
Hybrid Wilderness EMT $2250 [$1000]
Wilderness EMT Module $495 [$250]

[Deposit required in brackets]

Desired Course Date

PAYMENT OPTIONS: Tuition or deposit is expected with application. Choose your payment method below. *

CASH Pay in person. Please do not send cash
CHECK or MONEY ORDER
CREDIT CARD Processed through PayPal. Please ensure your e-mail address is correct.
PAYMENT PLAN Payment plans are available for courses lasting greater than a month. For details contact TKS.

Refund policy available upon request. The deposit is non-refundable, exceptions are outline in the refund policy. No refunds given within 3 days of the beginning of the course. Please make payable and mail to: The Kane Schools 52 Woodland Street Fryeburg, ME 04037 thekaneschools@gmail.com (207) 935 – 2608

Comment

If you are unable to complete the online form, download and complete the PDF application form. Be sure to include the course and dates you’d like to attend. Email completed forms to thekaneschools@gmail.com

TKS Application (2021)Download

The Kane Schools
Wild & Rescue Medicine

52 Woodland Street
Fryeburg, Maine 04000
(207) 935-2608
thekaneschools@gmail.com

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