CGRS Registration Form

Mental Health First Aid Training

Participant Registration Form
Title
Name: *

First Name Last Name
Name on Certificate *
Position
Company
Address - Where you would like your handbook sent if you are doing a blended course *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Please re-enter the email address *
example@example.com
Mobile Number *
Any special dietary requirements?
Payment Method
Payment Options *
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12-Hour Full MHFA Course $ 350.00 AUD
Location: 935B Albany Hwy, East Victoria Park

Full Course (2 days) - Choose Date

ONLINE Blended (Community) Course $ 220.00 AUD

Blended Online/Zoom Course - Choose Date 1 Blended Online/Zoom Course - Choose Date 2

ONLINE Blended (Workplace) Course 2 $ 220.00 AUD
This is privately offered to Corporate Partners - Please tick this option if you want to organise dates for your staff.

4-Hour Refresher MHFA Course (Online via Zoom) $ 150.00 AUD

Dates

4-Hour Refresher MHFA Course (Face to Face) $ 150.00 AUD

Dates

Subtotal $ 0.00 AUD Tax $ 0.00 AUD Total $ 0.00 AUD
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