LCRS EMT Hybrid - Summer 2021
Please complete the below pre-registration for the upcoming EMT Course.

Classes will be held on occasional Mondays from 6:00pm-1000pm and on Saturdays from 9:00am-5:00pm. A full course schedule will be provided on the first night of class. The course will be from May 30th - August 14th 2021.

Course Information:
The class is free** for members of a Louisa County Fire or EMS agency. The cost for non-members is $700 ($725 if processed by credit card), which includes the textbook and online learning platform. It does NOT include the test fee.

**LCFEMS will cover course costs pending approval from the administration.

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Name:
Date of Birth:
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Mailing Address:
Phone Number:
Email Address: (Please enter the email in which you prefer to use for ALL course related communication)
Due to the hybrid nature of this course - please note that the primary form of communication will be via email. Each student is responsible for checking their email frequently thru time of registration to course end date. Do you understand this requirement?
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Agency Affiliation: (insert N/A if not affiliated with an agency)
Are you currently CPR Certified?
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Are you 16 years of age or older by May 30, 2021?
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Do you have access to the internet to meet the requirements of this hybrid course?
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Have you previously enrolled in a VA Office of EMS Course? (EMR or EMT)
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