Course Registration - Desert Mountain Medicine

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WAT

February 18, 2023 - February 18, 2024

- Leadville, CO

If you are registering for another person, please enter their information in the form fields on this page.

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Attendee Information

Name*

First Last

Pronouns

Email*

*Please ensure that this is the email of the student who is taking the course.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

if you are outside of the US, please include your country code (e.g. 61 2 9876 5432 for AUS)

Photo of current certification*

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Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 5 MB, Max. files: 3.

Files can be no larger than 1MB.

Certificate Provider*

Previous Certification Expiration Date*

Other Provider Name*

How did you hear about us?

Why are you taking this course?

I am a professional and my job requires it

For personal recreational purposes

Other

Would you like to receive College Credit with your course?

WFA - 1 College Credit - $224

For WFA and WFR courses, DMM has partnered with University of Colorado, Denver to provide college credits. Read more here.

Would you like to receive College Credit with your course?

WFR - 1 College Credit - $476

For WFA and WFR courses, DMM has partnered with University of Colorado, Denver to provide college credits. Read more here.

Date of Birth*

WAT*

Price:

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Credit Card*

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