EMT Basic Refresher

EMT Refresher
Duration: 2 Saturday Course - Time: 9am-9pm *Must attend all days
Cost: $150.00

COURSE

Course*

EMT-B Refresher Date:*

PERSONAL INFORMATION

First Name: *

Last Name: *

Address:*

City:*

State:*

Zip:*

County:*

Email*

Phone*

###

####

WV Certification #*

Company Affiliation:*

BILLING INFORMATION

Billing Party:*

Self Pay

Company

PAYMENT INFORMATIONPlease read carefully

Cabell County EMS offers multiple ways to pay for courses. Please select a payment method below.
**Courses must be made in full prior to course start. If payment is not made, you will not be able to attend the course.
**ALL payments made to Cabell County EMS are non-refundable.

Choose a Payment method:*

Cash

Check

Credit Card

Paying Cash:
You may pay cash at Cabell County EMS.

Paying with Check:
Cabell County EMS does accept Personal and Company checks. Make checks out to CCEMS Training Dept.*There will be a $25.00 charge for all returned checks.

Paying with Credit Card:
You may pay with credit card online or at CCEMS Headquarters.*By entering your credit card information, you are authorizing Cabell County EMS to process your credit card for the payment of the course.

Message/Comments:

SIGNATURE

By electronic signing, you are registering for a CCEMS course.

Applicant Initials:*

Date:* (mm/dd/yyyy)

Submit

Su	Mo	Tu	We	Th	Fr	Sa
						1
2	3	4	5	6	7	8
9	10	11	12	13	14	15
16	17	18	19	20	21	22
23	24	25	26	27	28	29
30	31

EMT Basic 24 hr Refresher

We offer a couple different classes. You must attend all dates in the class you choose.

Duration: 2 Saturdays – Time: 9am-9pm
Cost: $150.00

EMT-B Refresher Course is a 24 hour course designed for current or expired (within the past 2 years) EMTs, who will be recertifing with State EMT or National EMT Registry.

Complete the information below to register for the EMT-B Refresher course.

EMT Refresher Course Registration