EMT & AEMT Course Registration

Select One:

NREMT Courses:

Advanced EMT Courses:

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*Any deposit made to Associates in Emergency Care, LLC is non-refundable.

AEC HAS NOT AND DOES NOT GUARANTEE OR MAKE ANY REPRESENTATION OR WARRANTY OF ANY KIND OR NATURE (EXPRESS, IMPLIED OR OTHERWISE) REGARDING OR WITH RESPECT TO THE AVAILABILITY OR SUITABILITY OF EMPLOYMENT, ANY LEVEL OF COMPENSATION UPON EMPLOYMENT, OR ANY OTHER MATTERS RELATING TO EMPLOYMENT AND EMPLOYMENT OPPORTUNITIES AFTER GRADUATION OR COMPLETION OF ANY COURSE WORK AT AEC.

*

I understand that this deposit amount is non-refundable.

AEC Apparel Size *

Apparel includes a job shirt, a polo, and two uniform shirts. Job shirts and polos may be traded for another size if needed. The uniform shirts are customized to each program. Shirt size must be correct. If another size is needed, the incurred cost must be paid by the student. *

I understand if I need another size uniform shirt, I must incur the additional cost.

Optional Items:

*Got CPR? (Basic Life Support: CPR for Healthcare professionals & Prehospital Providers) *

Current Total (including deposit):

$0.00

Student Information

Legal First Name *

Last Name *

Nickname *

Date of Birth * +

Current Address *

Address Line 2

City/Town *

State *

Zip Code *

Phone: (no dashes or spaces) *

Email *

Confirm Email *

Current place of employment: * 🛈

Emergency Contact *

Relationship to Emergency Contact *

Emergency Contact Phone Number *

How did you hear about us? Click all that apply. If other, please note. *