California Emergency Medical Training

California Institute of Emergency Medical Training

**This page is secured**

REGISTRATION REQUIREMENT:
1. Read and accept the terms of enrollment.
2. Fill in all areas with an "*".

Download Enrollment Agreement
Full Page Print Version.

(check here)
I understand and accept the terms in this enrollment agreement. I further understand that this is an eccelerated course and that it is an ambitious undertaking that I am fully prepared to accept.

Type of Class:
EMT-B Continuing
Education Class

Date of Class:
CALL FOR DATES BEFORE REGISTERING

* First Name:

* Last Name:

Middle Name:

* Email Address:

Street Address:

City/Zip:

State:

* Phone (day):

Phone (night):

***Student MUST contact the administration office first for the dates of the class or classes you wish to attend.***
Click here for Contact Info.

6 Hr. Skills Review and Testing:
YES, Enroll Me Now!
Class Date:

Number of Lecture Classes Needed:
(type in a number)

Enter Lecture Class Names:

1. Class Name
Date of Class
2. Class Name
Date of Class
3. Class Name
Date of Class
4. Class Name
Date of Class
5. Class Name
Date of Class
6. Class Name.
Date of Class
7. Class Name
Date of Class
8. Class Name
Date of Class

Continuing Education Lecture Classes. Enter the names of the classes you wish to take into the "Class Names" field on the left.

Intro. to EMS Medical/Legal

Human Body

Patient Assessment

Shock/Traumatic injury

Burns/Traumatic Injury

Respiratory Emergency

Cardiovascular Emergency

Neurological Emergency Injury

Environmental Emergency

Pediatrics/OB Emergency

Ambulance Op's/MCI

Assisting ALS/Expanded Scope

Medical Emergency Review

Traumatic Emergency Review

* Payment Method:
PayPal
(Accepts Credit Card or Check)
Paypal account NOT required.
Will mail out a check
(checks that are mailed do not ensure registration until it is received.)
*$30 unpaid check fee*

American Heart Association | NREMT | State EMS Agency | L.A. County EMS Agency | Pearson View Testing Center