EMT Refresher | EMSTA College

PAYMENT BY CASH OR CREDIT CARD ONLY

Tuition (24 hours Course Completion Certificate) $150.00

Skills Testing/Competencies $100.00

24 hours + Skills Testing/ Competencies $250

First Name^*

Last Name^*

Contact Phone^*

Email^*

Address^*

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Zip ^*

EMT Number: State or NREMT If no State

Expiration Date

Class Date Requested:^*

Comments or Questions:

Emergency Contact Name^*

Emergency Contact Phone^*

A non-refundable registration fee is required for all classes offered at EMSTA College and is applied towards the cost of that class.

EMT Refresher Registration Fee

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