Paramedic Continuing Education Spring/Summer 2024 Registration
Please call 217-524-6749 with your payment information AFTER completing and submitting this form. YOUR REGISTRATION IS NOT COMPLETE UNTIL WE HAVE RECEIVED PAYMENT.
Registration policy: Registration & payment must be received a minimum of 48 hours prior to class time. 
Cancelation and refund policy: To ensure a refund you need to cancel a minimum of 48 hours prior to class time. No refund if you cancel less than 48 hours prior to class time. Refunds will be prorated. 
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Email *
1. First Name *
2. Last Name *
3. Street Address *
4. City *
5. Zip Code *
6. Phone Number *
7. Professional License Number *
8. Attended LLCC in the past? *
9. Which sessions are you planning to attend? (select all that apply)
Pricing:  
4 hours = $15.00       
8 hours = $25.00      
12 hours = $35.00
16 hours = $45.00
*If you are signing up for more than 16 hours of CE units please call 217-542-6749 for pricing.
NOTE: To get the discounted pricing you must register and pay for all classes at the same time. 
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Required
10. COVID and other communicable diseases statement:
I understand that if I am sick or have symptoms of illness that I need to refrain from attending class. I understand that if I arrive at the course with symptoms of illness that I may be dismissed without refund. 

Please initial below. 

Your initials indicate your understanding and agreement to this COVID and other communicable disease statement.  
 *
11. How are you paying?
Registration is not complete until you call 217-524-6749 with your credit card information or mail a check to LLCC-Medical District, 130 W. Mason St., Springfield, IL 62702
 *
I understand that my registration is not finalized until payment is received.
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