Please fill in all information as completely as possible.  Once registration form is received, a verification email will be sent to the email address provided.  If there is no email address then a member of the office staff will contact you by phone to confirm your registration into the class requested.

It is very important that the information provided be as accurate as possible, especially in the event of a class cancellation or if a class reaches maximum capacity.

Although a registration form will be on hand, and a confirmation notification received back to the student, the only way a position in the class can be held in cases of maximum capacity is the required 20% down payment having arrived in our office at least 2 weeks in advance. 

**This down payment must be received prior to ordering any class materials for the students also 2 weeks prior to the first class.**

*Note- There will be a 20% handling charge (of check face value) for all returned checks.*

We accept PayPal for your convenience.

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Class Requested *	Please choose your selection here Emt-Basic Class #12 01/07/08 to 04/26/08 Emt-Basic Class #13 [Accelerated] 05/27/08 to 08/02/08 Emt-Basic Class #14 09/08/08 to 12/13/08 Emt-Cardiac Class #6 01/08/08 to 05/24/08 Emt-Cardiac Class #7[Accelerated] 05/19/08 to 08/09/08 Emt-Cardiac Class #8 08/19/08 to 12/20/08 Basic/Cadiac Refresher 01/05/08 to 05/01/08 Basic/Cardiac Refresher 03/15/08 to 05/03/08 Basic/Cardiac Refresher 09/06/08 to 11/08/08 ACLS [Full Class] [No classes Scheduled E-mail us if interested] ACLS [Recert] [No classes Scheduled E-mail us if interested] 12 Lead ECG [Full] [No classes Scheduled E-mail us if interested] 12 Lead ECG [Awareness] [No classes Scheduled E-mail us if interested] AHA PALS Refresher 05/23/08 AHA PALS Refresher 09/26/08 AHA PALS Full Class 05/30/08 & 06/06/08 AHA PALS Full Class 09/12/08 & 09/19/08 ACLS Refresher 04/11/08 ACLS Refresher 06/13/08 ACLS Refresher 11/07/08 ACLS Full Class 04/18/08 & 04/25/08 ACLS Full Class 11/14/08 & 11/21/08
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