Course Registration

IF YOU ARE REGISTERING FOR A CLASS IN MADISON COUNTY - DO NOT USE THIS FORM. USE THE MADISON COUNTY REGISTRATION FORM WHICH IS LOCATED HERE

Use this form to register for EMS Classes as well as for all other classes (CPR, PALS, ACLS, etc)

Important Reminders!
 Call 624-4539 if you have any questions.

If you plan to take a Rapid Recertification course, your completed application - signed by your medical director, must be in the EMS Education office no later than 45 days before the written test date.

Any issues with this form please contact
webmaster@midstateEMS.org