JBF DIVISION REGISTRATION FOR FIRST AID TRAINING

Name:_________________________________________________________________________

Address:_______________________________________________________________________

Phone#:____________________________HealthCard:_________________________________

email:______________________________________District:____________________________

Unit you work with:

Sparks_______Brownies_______Guides______Pathfinders_____

Rangers_____Cadets________How many girls in your Unit?__________

Do you have any special needs? NO____YES_____explain_______________________________

Registration Fee $30.00 + $15.00 for book

(make cheque payable to Girl Guides of Canada- Abitibi District)

Send to:

Abitibi District Commissioner, c/o Box 685, Iroquois Falls, ON, P0K 1E0

Date:_______________Guider'sSignature:__________________________________________