Remote EMT Registration

Name*

First Middle Last

Email*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What Remote EMT dates you are signing up for?*

NOTE: Given the current uncertainties relating to COVID-19, the classroom session dates are subject to change. Every effort will be made to provide notice to attendees as early as possible, should this be the case.

26th - 31st July 2021
20 - 25th September

Have you completed the mandatory Remote EMT Online preparatory course?*

Yes
No
Currently doing this course

Privacy*

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