EDUCATIONAEEEEDUCATION REGISTRATIONL RESOURCES: COURSE REGISTRATION FORM Name * First Name Last Name Email * Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Credentials (if applicable) Examples: RN, EMT, AEMT. PARAMEDIC, LEO, MD, etc. Course Selection * Tactical Emergency Casualty Care - $300 Tactical Emergency Casualty Care (LEO) - $200 Prehospital Trauma Life Support - $300 Advanced Medical Life Support - $300 HeartSaver CPR & First Aid - $70 HeartSaver K-12 Schools - $250 Basic Life Support - $100 / $50 Renewal Advanced Cardiac Life Support - $225 / $100 Renewal Pediatric Advanced Life Support - $225 / $100 Renewal Pediatric Emergency Assessment, Recognition, and Stabilization - $100 / $50 Renewal Trauma Nurse Core Course - $300 Emergency Nurse Pediatric Course - $300 Preferred Location * Sparta, TN Hurricane, WV Thank You for Registering!We’ve received your submission and will be in touch shortly with next steps. If you have any questions in the meantime, feel free to contact us at bwilkinson@valormedgroup.com.Please remember there is a $25 fee due on the day of the course to cover your T-shirt. We look forward to seeing you in class!
