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 08-18-2023 12:00 am.

Existing user? Please login

New User? Please register

Username*

Password*

Retype password*

Last Name *

First Name *

Address *

City *

Zip *

State *

Phone *

Email *

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

Course Fee *

I understand that the course must be paid in full prior to the start of the class and the deposit is not refundable.

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.

COVID-19 *

I understand that the COVID vaccination is required for this course. This is a requirement of the clinical sites.

Course Format *

I understand that in addition to the in-class lab sessions I will be required to complete weekly online assignments. I have reviewed the schedule on the course description page and can attend all of the in-class sessions.

Payment Information

Coupon

Amount

Discount Amount

Gross amount

Deposit Amount

Payment Type

Payment Method *

Credit Card Paypal

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

I have reviewed and accepted the our Refund and Cancellation Policy and the Terms and Conditions

Individual Registration

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New User? Please register

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