"*" indicates required fields Instructor & Course DetailsLead Instructor Name* First Last Lead Instructor Email Address* Assistant Instructor Name First Last Assistant Instructor Email Address Date of the last day of the course:* MM slash DD slash YYYY Course Location:* Students InformationHow many students participated in the course?*How many students total?12345678910Student #1 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below. Please only fill for new fields (eg. If your student already previously obtained ‘Get Outside (Maps)’, please leave the field blank) FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Maps Certification GO Maps HiddenGO Compass Certification GO Compass Student #2 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below.FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Maps Certification GO Maps HiddenGO Compass Certification GO Compass Student #3 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below.FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Maps Certification GO Maps HiddenGO Compass Certification GO Compass Student #4 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below.FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Maps Certification GO Maps HiddenGO Compass Certification GO Compass Student #5 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below.FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Maps Certification GO Maps HiddenGO Compass Certification GO Compass Student #6 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below.FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Maps Certification GO Maps HiddenGO Compass Certification GO Compass Student #7 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below.FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Maps Certification GO Maps HiddenGO Compass Certification GO Compass Student #8 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below.FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Compass Certification GO Compass HiddenGO Maps Certification GO Maps Student #9 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below.FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Maps Certification GO Maps HiddenGO Compass Certification GO Compass Student #10 DetailsFirst Name* Last Name* Email* PhoneCity* Province* Postal Code 1st Nations, Inuit, Metis?* Yes No Date of Birth MM slash DD slash YYYY HiddenBase Course Delivery Fee OCC Member ($25) Please enter PASSED, FAILED or INCOMPLETE in the appropriate fields below.FL (Hiking)*IncompletePassedFailedFL (Paddling)*IncompletePassedFailedFL (Equine)*IncompletePassedFailedField Leader (Winter)*IncompletePassedFailedHiddenHiking Certification FL Hiking HiddenPaddling Certification FL Paddling HiddenEquine Certification FL Equine HiddenWinter Certification FL Winter Field Leader (Overnight)*IncompletePassedFailedGet Outside (Maps)*IncompletePassedFailedGet Outside (Compass)*IncompletePassedFailedHiddenOvernight Certification FL Overnight HiddenGO Maps Certification GO Maps HiddenGO Compass Certification GO Compass Fill in Payment Information?Continue to payment?* Please send me an invoice to pay for course fees Course fees have been paid to the OCC (you do not need to send me an invoice) Click here to indicate that you have filled this form out earlier today and the invoicing information was provided at that time. (this is only true for instructors with more than 10 students). 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