Please print and fill out the Application Form to accompany your payment. If paying by credit card, you may use the PayPal selections on our schedule page but you must still print and send your completed Application Form. Application

Please print and send the Application with cheque to:

Kootenay Industrial Rescue Ltd.
PO 861 602 Arena Ave
Kaslo BC Canada
V0G 1M0

The waiver is printable for you to ensure you have had an opportunity to read it. It must be signed in our presence at the start of the course. Waiver

 

Please fill in all fields of the form below and we will contact you withen 48 hours to confirm your spot.

 

Please select course:
Please select dates:
Name:
Mailing Address:
Mailing Address:
City:
Province:
Country:
Postal Code:
Home phone and area code:
Work Phone:
Fax:
E Mail:
Comments:
T shirt size: Small Medium Large Xlarge