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Register for Classes

To register for our classes, please fill out the form below. Registration confirmations are sent out by e-mail only.

* indicates required field

 
*First &  Last Name
 
*Phone with area code
 
Address
City
State
Zip
*E-mail
 
EMT ID#
*Your
  Agency
 
*Class
 
*Class Date
 
*Location
 
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Eligible for the NJ Volunteer EMT Training Fund?
Please note that effective 4/1/10 the NJ Volunteer Training Fund will only be available for use toward Core CEUs, not elective CEUs. This is per NJOEMS policy.
           
   

 

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