Kindling Collective - 2027 Queer/BIPOC WFA Reg Form

2027 Queer + BIPOC Wilderness First Aid

1 occurrence

Thursday February 4, 2027 9:00 AM - Sunday February 7, 2027 5:00 PM

February 4, 2027

$100-$500

14 spots left

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First name *

Last name *

Pronouns *

Email *

Mobile *

Date of birth *

Are you taking this course for Wilderness First Aid or for a Wilderness First Responder recertification?

WFA! WFR Recert!

Which race &/or ethnicity best describes you? We ask this question to help protect affinity spaces and ensure appropriate event registration as Kindling offers free admission for BIPOC participants. *

Black, Indigenous, and/or person of color White

Sliding Scale Ticket

Kindling Collective trips and events are offered through a sliding scale. Tickets for this event range between $100-500.

Our model invites and expects people with greater financial resources to contribute more, enabling those with fewer financial resources to pay less. Use this chart as guidance for what to pay for this program. Kindling offers low-cost and/or free admission for BIPOC participants.

To adjust your ticket price for please hit edit below.

Item Qty Price Amount

item x 1 $250.00 $250.00

Item

Quantity (min 1, max 1)

Price (min $0.00)

BIPOC Sliding Scale Ticket Price

Kindling Collective trips and events are offered through a sliding scale. Tickets for this event range between $50-500.

Our model invites and expects people with greater financial resources to contribute more, enabling those with fewer financial resources to pay less. Use this chart as guidance for what to pay for this program.

Kindling is able to offer low cost admission for BIPOC participants for this program. To adjust your ticket price for please hit edit below.

Item Qty Price Amount

Registration Fee x 1 $250.00 $250.00

Item

Quantity (min 1, max 1)

Price (min $50.00)

Emergency Contact *

(must be someone who is NOT participating in this trip)

Name

Phone Number

Relationship

Allergies *

Allergy

Reaction

Medication required

+ Add

Dietary Restrictions *

Food Allergies

Dietary Preferences

Food Aversions

+ Add

Physical and/or mental health conditions that might impact your participation in this activity: *

Condition

Potential Impact

Management plan

+ Add

Access Needs

Please describe any restrictions that could impact your ability to participate fully in any or all of the activities during the program, as well as any accommodations that might be helpful for you. These can be about mental & physical health, as well as anything else you think can help support you.

Kindling Collective Essential Eligibility Criteria (EEC)

Our multi-day programs include a variety of challenges: rugged backcountry conditions, group living, learning multiple new skills, and more. We’re committed to supporting participants throughout their experiences with Kindling—however, the challenges of each program may not be suitable for everyone. Our Essential Eligibility Criteria (EEC) help ensure that participants are well-prepared and a good fit for our programs. As you review the EEC, please consider whether or not you’re willing and able to participate in each item.

If you would be unable to perform some of the activities on the EEC but you would still like to join the trip, we invite you to get in touch with us. Please propose accommodations that will allow you to join us on the trip—we are committed to providing participants with accommodations whenever possible given Kindling’s capacity, expertise, and funding.

And if after you’re not sure whether a program is right for you, get in touch with us! We’re here to help you find a program that fits your needs and interests.

1. Relationship with the group

Each participant must be willing and able to

Work effectively as a team member by sharing responsibility with classmates;
Recognize and accept that the needs of the group often come above the desires of any one individual group member.
Contribute to a caring, welcoming, and safe learning environment and exhibit a willingness to participate in program activities;
Take a rapid COVID test and submit a photo of that test to Kindling staff in the 24 hours before trip start.

1. Relationship with the group agreement *

I accept these group agreements. I accept these group agreements, but will request accommodations below.

Accomodation Request

2. Relationship with space and activities

Each participant must be willing and able to:

Understand the duration and intensity of the activities of the course as outlined in the sample itinerary and course description, and be mentally and physically prepared to engage in the activity for the duration of the course;
Be understanding of scheduling and location changes and other shifting circumstances with short notice;
Navigate and travel independently to and from program start and end destination(s);
Independently perceive, understand, and follow directions and instructions given by others to avoid hazards and/or manage risks;
Abide by the Participant Agreement, program expectations, and guidance of staff while on the program;
Come prepared with the appropriate items required in the packing list OR have requested to borrow those items from Kindling.
Care for and show respect to the natural environment and Wabanaki people and history.

3. Relationship with self

Each participant must be willing and able to:

Maintain proper dosage of any prescription medication by self-medicating without assistance from instructors or others (except possibly in emergency situations);
Effectively and proactively notify staff or other participants of personal distress, emotional stress, safety or health concerns, or other needs for assistance;
Proactively act to maintain physical and mental health while on program and accept full responsibility for physical and mental health, including complying fully with medication routines and self-care strategies recommended pre-course by medical/mental health professionals;
Communicate proactively, openly, and honestly about any physical or mental health challenges that arise prior to or during the program

3. Relationship with self *

I accept these group agreements. I accept these group agreements, but will request accommodations below.

Accomodation Request

4. Wilderness First Aid criteria

In addition to the general Kindling EECs, each participant must be willing and able to:

Stay alert and to focus for up to eight hours a day in a classroom for the duration of the course.
Stay alert and to focus for several hours at a time while performing practice patient care in a learning scenario.
Navigate potentially stressful situations like a simulated crisis or medical emergency.
Perform all tasks related to patient care, including the ability to log roll a patient, palpate a patient for injuries from head to toe, perceive and assess a patient’s verbal and nonverbal responses to examination.
Roleplay as a patient, and consent to being examined and interviewed in a semi-public setting.
Work effectively as a member of a team in potentially stressful and difficult conditions. This may require problem solving on an interpersonal or group level as well as a willingness to accept differences.
Take up an equitable amount of space in the learning environment including sharing the resource of instructor time with other students.

4. Wilderness First Aid criteria *

I accept these group agreements. I accept these group agreements, but will request accommodations below.

Accomodation Request

Any concerns about a participant’s ability to comply with these EEC should be addressed with Kindling Collective staff prior to program start date. Signing the EEC indicates that you understand and will be able to participate in the activities required for this program. Reviewing and signing the EEC allows both you and Kindling Collective to consent knowingly to your participation in the trip. If additional information arises during the application and pre-trip process about the activities of the program or about the participant’s ability or willingness to participate in the program’s activities, either party may revoke their consent.

Access Needs and Additional Accomodations Request

Please describe any restrictions that could impact your ability to participate fully in any or all of the activities during the program, as well as any additional accommodations that might be helpful for you. These can be about mental & physical health, as well as anything else you think can help support you.

Kindling Collective Participant Agreement

You are opting into a community where these are the shared agreements. Review these agreements and check the box below and sign this form to indicate that you agree to:

Move at the pace of the group, which is most likely a pace that is different from how you’d travel if you were alone.
Center community building, belonging, and group cohesion. If you come with a friend or partner or make a new bestie, that’s great! Just be sure you’re not spending all your time with that person and that you are still putting in effort to connect with the rest of the group.
Balance your needs and the needs of the group.
Seek consent in your interactions, including asking permission before taking photos of others, before posting photos on social media, helping people pack their bags, helping people fit or set up their equipment, physically interacting with fellow participants and instructors, and more.
Limit phone use to taking pictures.
Understand that Kindling trips are alcohol and substance-free (unless specifically stated otherwise). Contact Kindling if you use a substance for medical or therapeutic purposes.
Avoid any and all racist, homophobic, transphobic, and ableist behavior or language, as well as any language or behavior that is harmful or oppressive.
Be accountable for your words and actions and center the impact of your actions, even if you didn’t intend to cause harm.
Respect the knowledge and identities of the group and understand that our instructors are trained in the type of travel and environment of the trip, and each group member brings their own knowledge, culture, experiences, and identity to the trip.
Treat the gear and spaces we occupy with respect and care, and never intentionally damage them.
Actively engage with the history and tensions of recreating on stolen Wabanaki land.

I read and accept *

Please read and scroll to the bottom to accept.

Electronic signature

I have read all sections of the Kindling Collective ECC and the Participant Agreement, am in a right state of mind, and agree to these terms. I also understand that checking the boxes above and signing below will act as a legal and valid signature. I recognize that this ticket purchase and registration is conditional and that my registration is not complete until I finalize additional medical forms and liability waivers.

Please sign your name inside the box or type your name below.