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Blood Sweat & Breathe Event Registration

November 3rd 2025
Reidsville Elementary
147 Chandler Ave.
Reidsville Ga 30453
(0900-1700)

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Name *
Email *
Agency/Organization *
What is your provider level? *
Required
Years of EMS/Healthcare Experience   *

How many successful intubations have you performed in the field this year?

 *

When was your last formal airway training?

 *
What your primary goal for attending this course?   *
Which airway devices are you most comfortable with? (check all that apply)
 *
Required

What is your greatest challenge with airway management? (Check all that apply)

 *
Required
Any other specific challenges you’ve faced with airway management you’d like addressed? *
Dietary restrictions *

I understand that my registration is not complete until payment has been received. My spot in the Blood, Sweat & Breathe will only be held upon payment in full.

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Required
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