HRSAR Fall 2012 Public Map and Compass Course Registration Form Course Dates: Tuesday 6 November (evening: 6:30pm to 9:30pm), and Saturday 10 November (all day: 8:30am to 5:00pm) Name: Mailing Address: Postal Code: Phone (Home): Phone (Cell): Reasons for taking this course: Please indicate any physical or medical concerns we should be aware of: Please indicate and previous navigation experience: How did you hear about this course? Please complete this form and email it to maps@halifaxsar.ca . If you cannot complete the form electronically please include the above information in the body of your email. Payment: The course fee of $65 is due at the beginning of the course (Tuesday evening). We accept cash or cheque (made out to “Halifax Regional Search and Rescue”) 100 % of the proceeds go to support HRSAR volunteer efforts ** Thank you for supporting Search and Rescue in NS **