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Register Here and Mail Payment

Please complete, submit, print and mail this form, along with payment to South Middlesex EMS.
South Middlesex regrets to announce that we will NO LONGER bill employers for tuition payment. 
Candidates must pay for the course on time, and seek reimbursment from your department. 
This policy is effective 5/18/2011 and NO Exceptions will be made.

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Today's Date
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No department billing.
I understand that full payment must be made prior to the completion of course day 1. I also understand that there is NO option to bill my department. I am fully responsible for payment.
 
Which course are you registering for ?
PARAMEDIC REFRESHER April/May 2012
Medic Refresher August September 2012
Medic Refresher October/November 2012

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Course Tuition:
On-Time Course Tuition - $ 225.00
Late Course Tuition Payment - $ 265.00
 
First Name

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Last Name
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Address Line 2
 
City
 
State
 
Zip Postal Code
 
Telephone Number
 
Email Address
 
Your Comments
 

Instructions:

Print 2 copies of this form !

Keep 1 copy, it is your admission ticket and course confirmation. (You may need to submitt this to your department for reimbursment).

Mail the other copy, with a check for the correct amount to: SMEMS, 31 Smith Place, Cambridge MA 02138.  All payments must be received by the end of the first day of class.  You will not be permitted to attend multi-day programs without payment being made.  Please do not ask for exceptions to this rule.  Under NO circumastnces will a candidate's name be submitted to OEMS as having completed a course without payment being made. 

Acknowledgment of Video and Audio Tape Recording: Extremely rigorous verification and make-up procedures are in effect for all SMEMS courses.  Periodic video and photographic documentation WILL be used to document participant's attendance in class.  Please clear your schedule for the entire duration of the course, allowing appropriate time to commute to and from work or home.  Any time that is missed, previously expected or not, must be made up in the week following the completion of the course.  Course rosters will be submitted to OEMS showing "Incomplete" if make-up has not been made within 7 business days of course completion.  Also, please note MONITORED make-up times will be posted prior to the end of class.  Again, no exceptions to this will be made. 

Start Time:  MEDIC Refreshers begin each day at 9:00 am. Late arrivals must complete make-up work.  Class ends at 4:00.  ACLS Renewal Times are 8am to 5pm. Please make arrangements to accomodate this.

All persons registering for SMEMS courses should download the Free ACLS Handouts and must purchase the AHA ACLS Provider Manual Purchase ACLS Manual by visiting www.channing-bete.com
Please call 617-868-4848 with questions.

Students may buy ACLS Provider Manual here.