Individual Registration

The enrollment form is set up to charge your $350.00 non-refundable deposit.
If you wish to pay in full today, please change the option below from "Deposit Payment" to "Full Payment".

Please enter information in the form below to register for Advanced EMT - Bedford on 03-03-2023 12:00 am.

Existing user? Please login

Username*
Password*

New User? Please register

Username*
Password*
Retype password*

Personal email preferred as some business email systems may filter communication related to your enrollment.

This is not required now but will be required later for the State final roster.

This is not required now but will be required later for the State final roster.

If you wish to utilize a payment plan, choose the Full Payment during enrollment (not Deposit Payment), select PayPal, and then choose PayPal credit while signed in to the PayPal site.

Payment Information

Coupon
Amount
$
Discount Amount
$
Gross amount
$
Deposit Amount
$
Payment Type
Payment Method *
Credit Card Number*
Expiration Date*
/
Card (CVV) Code*
Card Holder Name*